ELECTRICAL PERMITS 79 NE 91 ST//4
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
/ C r/ APPLICATION FOR ELECTRICAL PERMIT
/
Permit No "� .S Date 67 '
Application is hereby made for the approval of the detailed statement of the plane and specification 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
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing ectric'ah'e me. 6 -"- u°�.f- ' ,fa -✓l'.< c ,A-e' No l ®e l,/ i
" u and Leg D r Lo " Y vi' �,, Mock. / Subdivisions /; ! - e
Street and Number where work is to be performed —No �.... .. �'� i/.
State work to be performed and purpose of building (By Floors
New Building Remodeling
Amount of Permit $ ° ' (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. I °°'
(Signed)
Street
VqPrii
Street
Repairs No. of Stories
Servi Und Site Feeders Conduit Main Sw Amps Main Fuses Amps
T ype of Installation — Conduit Tubing B.X.L Metal Moulding
/
Master Electrician.
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 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, ork to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorised 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
PLUO
RICE'►'T
FIXTURES
NO. LAMPS
REPRICE
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANOE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
P
D ER
d�'
TOTAL
CONTR.
LIST
?
4
A
s
/J
at�'
,
,/�'
—
0
CHECK
ENT.
Sw.
DI8T.
CAS.
SERVICE
TEMP.
SERVICE
PER N.
. / �
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
p
.a i
B
CHECK
a
.4; eoe
//4
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
/ C r/ APPLICATION FOR ELECTRICAL PERMIT
/
Permit No "� .S Date 67 '
Application is hereby made for the approval of the detailed statement of the plane and specification 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
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing ectric'ah'e me. 6 -"- u°�.f- ' ,fa -✓l'.< c ,A-e' No l ®e l,/ i
" u and Leg D r Lo " Y vi' �,, Mock. / Subdivisions /; ! - e
Street and Number where work is to be performed —No �.... .. �'� i/.
State work to be performed and purpose of building (By Floors
New Building Remodeling
Amount of Permit $ ° ' (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. I °°'
(Signed)
Street
VqPrii
Street
Repairs No. of Stories
Servi Und Site Feeders Conduit Main Sw Amps Main Fuses Amps
T ype of Installation — Conduit Tubing B.X.L Metal Moulding
/
Master Electrician.
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 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, ork to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorised 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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /./ Ve /+
Date �
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
building during progress of work.
Owner's Name and Addressl/ rIR i .; !. ... "I r kY � � No.... Street � ,Ev'r 5- r
• Registered Architect and /or Engineer
1 ' 11 g triciah' J �I me. cy D /
/, ad d Legal Descr�tion Lot.o'� / 11-6 1 ,
7g77e 9/4I
ni JI „
State work to be performed and purpose of building (By Floors):�tv`'�= 9�G' LA
Street and Number where work is to be performed —No
New Building Remodeling Addition ✓.
No Street
Block ./ Subdivision .V
Street
ft r4:
r
Repairs No. of Stories
Servi
nd Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing.. B.X.L .Metal Moulding
Amount of Permit S...J�
STATE OF FLORIDA, }
COUNTY OF DADE. ea.
(Signed)
.i_sitt14 y $y
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 ntractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for in.pectio on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-cont • clots on pvork jo be , performed under this permit, as are
licensed by Miami Shores Village.
(Signed). .��;� ( / /Mt (� 0
to administer oaths and take
T f ,
•
11: I ,. .
Before me, the undersigned authority, a notary public, duly authorized
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 fact*
therein by him stated are true.
acknowledgments, personally
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
OU
LIGHT
OUTLETS
PLUG
RECE•P•T'S
FIXTURES
NO LAMPS
RtrR10.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
NEATER
TOTAL
CONTR.
LIFT
3 •
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
04 HP
MOTORS
MI HP
N EON
TRANS.
RADIO
TOTAL
T
/
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /./ Ve /+
Date �
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
building during progress of work.
Owner's Name and Addressl/ rIR i .; !. ... "I r kY � � No.... Street � ,Ev'r 5- r
• Registered Architect and /or Engineer
1 ' 11 g triciah' J �I me. cy D /
/, ad d Legal Descr�tion Lot.o'� / 11-6 1 ,
7g77e 9/4I
ni JI „
State work to be performed and purpose of building (By Floors):�tv`'�= 9�G' LA
Street and Number where work is to be performed —No
New Building Remodeling Addition ✓.
No Street
Block ./ Subdivision .V
Street
ft r4:
r
Repairs No. of Stories
Servi
nd Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing.. B.X.L .Metal Moulding
Amount of Permit S...J�
STATE OF FLORIDA, }
COUNTY OF DADE. ea.
(Signed)
.i_sitt14 y $y
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 ntractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for in.pectio on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-cont • clots on pvork jo be , performed under this permit, as are
licensed by Miami Shores Village.
(Signed). .��;� ( / /Mt (� 0
to administer oaths and take
T f ,
•
11: I ,. .
Before me, the undersigned authority, a notary public, duly authorized
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 fact*
therein by him stated are true.
acknowledgments, personally
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.
K
7i
1, 0
4o
Permit No
Registered Architect and /or Engineer
New Building Remodeling Addition
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 of work.
Owner's Name and Address No Street / (
7
Service Overhead Size Feeders Conduit Main Sw
Underground
Employing Electrician's Name Street
(Signed)
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 suh•contractors, on work to
licensed by Miami Shores Village.
Date
Location and Legal Description Lot Block 1! Subdivision
Street and Number where work is to be performed —No Street
� L
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
ccepts his/' obligations as an employer of
of of Flori a Permanent Supplement, and
sub•contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
/-
(Signed)....
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. se.
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
LIGHT
OUTLETS
PLUG
RECe•P•S
T'
FIXTURES
No. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H
HEATER
STRIP
HEATER
TOTAL.
L
CONTR.
LIST
CHECK
•
ENT.
SW.
OIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
' CONTR.
LIST
)
HECK
K
7i
1, 0
4o
Permit No
Registered Architect and /or Engineer
New Building Remodeling Addition
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 of work.
Owner's Name and Address No Street / (
7
Service Overhead Size Feeders Conduit Main Sw
Underground
Employing Electrician's Name Street
(Signed)
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 suh•contractors, on work to
licensed by Miami Shores Village.
Date
Location and Legal Description Lot Block 1! Subdivision
Street and Number where work is to be performed —No Street
� L
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
ccepts his/' obligations as an employer of
of of Flori a Permanent Supplement, and
sub•contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
/-
(Signed)....
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. se.
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.
i
�a
i.
Permit
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 of work.
Owner's Name and Address_
Registered Architect and /or E
Employing Electrician's Name_
Location and Legal Description Lot _ _ Block Subdivision O �
S
si
treet and Number where work is to be performed —No. 7f '" Street F
Td LIE -mg ' c2 OO/ c2 ° 61) 417 - ► D , ' /k.e.L kJ /T J)
State work to be performed and purpose of building (By Floors) / / R _ _,,�, j 9,97
New Building Remodeling _ Addition___ Repairs No. of Stories — Ara W —
Service Un d _ _— Size Feeders Conduit______Main Sw._______ _Amps._ ......... Fuses_ — _____ ____ ________Amps
Type of Installation— Conduit_________ Tubing__ Metal Moulding__
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DARE I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
neer__ .
No 7 _y
(Signed)-
lectric nspector.
The undersigned applicant for this .. 'Iding permit does hereby certify that he stands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compile General Laws of Florida Permanent upplement, 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 p osted 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 sub - contractors ork to be perfe ed der r this permit, as are
licensed by Miami Shores Village. (,��j�
(Signed)
Date
Street Mee
e 71 /
_Street__ kW 0 / /V A f
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CO IST
LIST
/
'--
/]
` L T ,
CHECK
^ 5
` ENT.
L5
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit
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 of work.
Owner's Name and Address_
Registered Architect and /or E
Employing Electrician's Name_
Location and Legal Description Lot _ _ Block Subdivision O �
S
si
treet and Number where work is to be performed —No. 7f '" Street F
Td LIE -mg ' c2 OO/ c2 ° 61) 417 - ► D , ' /k.e.L kJ /T J)
State work to be performed and purpose of building (By Floors) / / R _ _,,�, j 9,97
New Building Remodeling _ Addition___ Repairs No. of Stories — Ara W —
Service Un d _ _— Size Feeders Conduit______Main Sw._______ _Amps._ ......... Fuses_ — _____ ____ ________Amps
Type of Installation— Conduit_________ Tubing__ Metal Moulding__
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DARE I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
neer__ .
No 7 _y
(Signed)-
lectric nspector.
The undersigned applicant for this .. 'Iding permit does hereby certify that he stands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compile General Laws of Florida Permanent upplement, 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 p osted 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 sub - contractors ork to be perfe ed der r this permit, as are
licensed by Miami Shores Village. (,��j�
(Signed)
Date
Street Mee
e 71 /
_Street__ kW 0 / /V A f
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.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR4R BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 6757
Work to be performed under this Permit i »
Owner of
Building ,,,,
Bl.
This pe t is granted to the contractor or .uilder named above to construct the building or to install the equipment or device described in the appli-
catiorilierefor in stri 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
perniit 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 m thq^ statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ,r : >'
of
Signed Jrrr
INSPECTOR i 4 s By,
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 Shires2V6lage.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
A .
c
Subdi-
vision
Value of
Project
DATE
Amt. of
Permit
• 194
Contractor's
License No
J
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
alue of
oject
Amt. of
Permit
Lot
Address of
Building
This permit is granted o the contractor or build n ed above to oiistruct
cation herefor in strict compliance with all ordinances • rtaining thereto d with
plans, drawings, statements or specifications that may have been submitted to and a
at any time if the work is not done in compliance with such ordinances or if the pl
permit is granted is the understanding that the contractor or builder named above
regulations pertaining to the work covered hereby whether shown �n the plans
sibility for work done by his agents, servants or employees.
In consideration the issuance to ineifir this p
pertaining thereto in strict ( conformity with the
In accepting this , .ermit •. responsibility
� r
BUILDER
MIAMI SHORES VILLAGE, FLORID
PERMIT N? 7420
Work to . e performed under this Permit
CP A-
Subdi-
vision
DATE
Contractor's
License No
the building or to install the equipment or device desc
understandi . g that the work will be performed in compha
in the appli-
with any
roved by th proper municipal authorities. This Permit may be - oked
are Chang • with t auth,riz ion. A further condition upon which this
umes th .pon r ; a t •rough knowledge of the ordinances and
ecification . nd that h: assu s respon-
Signed•
INSPECTOR
t I agree to perform the w rk covered hereunder in compliance w " all ordinances an regulations
drawings, statements or •ecifications submitted to the proper authorities of Miami S ores Village.
I done by either myself : y agent, servant or employee.
194
Permit No.
D a t e
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 of work.
Owner's Name and Address
SrIS - - No. _w..L.....,�. – Street '►sr� —__ _
–
Registered Architect and /or Engineer ,
Employing Electrician's Name :�trG�__� L jC No
Amount of Permit S_
r MIAMI SHORES VILLAGE
APPLICATION* FOR ELECTRICAL PERMIT '
STATE OF FLORIDA,
COUNTY OF DADE. ss'
ELECTRICAL INSPECTION DEPARTMENT
Location and Legal Description Lot_ _____________— __—__________ ________Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs
_(Sigacd)
Street
Subdivision
Service Overhead Size Feeders Conduit.________ —__ Main Sw._______ - -___ Amps. _ ____ Main Fuses_
Underground
Type of Installation— Conduit Tubing, B.it.L Metal Moulding
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 ork to be rm r u� der thi
0 per mit� as are
licensed by Miami Shores Village. n e (' e
e . t ( r f
/ '
(Signed) - - ---
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
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.
My Commission Expires Notary Public. State of Florida
No. of Stories
r �'
Master Electrican.
Amps.
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
•/
• A- c
l ,.S
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.
D a t e
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 of work.
Owner's Name and Address
SrIS - - No. _w..L.....,�. – Street '►sr� —__ _
–
Registered Architect and /or Engineer ,
Employing Electrician's Name :�trG�__� L jC No
Amount of Permit S_
r MIAMI SHORES VILLAGE
APPLICATION* FOR ELECTRICAL PERMIT '
STATE OF FLORIDA,
COUNTY OF DADE. ss'
ELECTRICAL INSPECTION DEPARTMENT
Location and Legal Description Lot_ _____________— __—__________ ________Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs
_(Sigacd)
Street
Subdivision
Service Overhead Size Feeders Conduit.________ —__ Main Sw._______ - -___ Amps. _ ____ Main Fuses_
Underground
Type of Installation— Conduit Tubing, B.it.L Metal Moulding
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 ork to be rm r u� der thi
0 per mit� as are
licensed by Miami Shores Village. n e (' e
e . t ( r f
/ '
(Signed) - - ---
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
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.
My Commission Expires Notary Public. State of Florida
No. of Stories
r �'
Master Electrican.
Amps.
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.
lf. •ar. a tr.�r�S tr. � �r,•�•ty tr.•��b tr• .,� r
a8�a v.• •��lr tr•��b a.• -b >'r•��y�ar.•_1D tr.�•.� r
•..�.y .a >'r..�• rr,�•.�.
si � trCCi4�ir c�34iir�W�tic�i4� ;********i *' eSrir v
l iiVl 4 �iicIIZ? �i icCZtl�il . ;&, r i�T4�iI�I4 f liti��i i tgUt�l4�iitRair II3� 'ut�W�iiGiDZr�:ica4.i;�ig3c'.t r.
Issued_ 19 'V!'
An4nt
No. Houses
KNOW ALL MEN BY THESE PRESENT $, that I,
Address
WHEN CLEARED AND REPAIRED BY THE VILLAGE
Amount of Bond
Balance due Builder
Cost of clearing and repairs done by Village . . $
ciami tfhores9llage
i L O D ID A
BUILDER'S BOND
in consideration of the issuance to me by Miami Shores Viltage, Florida, of a permit or permits to construct or repair a building
or buildings at the following addresses:
do ltt'ere l deposit with Miami Shores Village, Florida, the sum of ;__r - 7 - and I agree with said Village that, when such construction shall
have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me,
used for the deposit of material or equipment in the construction or repair and that, if 1 do not so clear and repair such premises immediately upon the
completion of such constructs h' the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and
repairs out oft a aforesaid , and return the remainder to me; and that, if 1 shall clear and repair said property imx�ediatcly, as aforesaid, then
said .� shall be returned to me. J
WITNESS MY HAND and Seal at Miami Shores Village, Florida, t
f
671
(Seal)
INSTRUCTIONS TO BUILDER -- -When above mentioned construction is completed nd t e premises are clear.. ac repaired take this and to the
Village Building Inspector and obtain his approval, after which Miami Shores Village w refu d your money in acc.rdance with the above agr ement.
VILLAGE BUILDING INSPECT ►R'SiAPPROVAL
I hereby certify that the construction contemplated under this B snd as been completed and that the builder thereof has
caused the surrounding premises to be cleared and repaired in as good con ition as hey w . . efore commencing said construction.
illage Building Inspector, Miam Sres Ville
$ Cancelled 19 By____
•iii• !•'•ic• °•'' '''' '•''' ' •iii ° .• ' •i 'ir''i`.° °.'• r.°$°•. r °.•'•'' '• rim iii .'''' '•rr','`r.°. '• r`'''''''' '• r
5
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
►Description
Lot
'PERMIT N9 6286
Work to be performed under this Permit ei
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Address of
Building
This permjjis anted to the contractor of builder named above to construct the building or to install the equipment or, device described in the appli-
4 ' cation herefor in stricj compliance with all ordinances pertaining thereto and w th the understanding that the work wil be performed in compliance with any
plans, drawings, stat ents 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 ?ertaining 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.
- 1 ,
.1 1 }j / 1 .
, �, - . .f y ''..'. 1 � y i-41 J a 04 .
CONTRACTOR OR BUILDER
UILDER w
�
Subdi-
vision
Value of
Project
BY
DATE
Contractor's
License No.
Amt. of
Permit
194
Signed; , By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with al} ordinances 4ndbegulaikons
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
Permit No .(� >
•
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 of work.
Owner's Name and Address
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
•
Date
No.________ ______ - -- - - - - _ Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street_', a? : ______-__
Location and Legal Description Lot ��' __�- Block Subdivision_ ______________A' " r,
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) -
New Building Remodeling Addition. Repairs___________________ No of Stories
Service
Overhead Size Feeders__=____ Conduit._'_____ Main Sw.__� __ Amps.
Type of Installation -- Conduit Tubing s-� ____ B.X.L __________ ______Metal Moulding _________ ___— _______________A______________
Main Fuses_
Amps.
--- r r
Amount of Permit $_ / -\ (Signe4) -,_ I ' 1., Y 't 1 s -.
� i 41ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatft as an em er of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemc , and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hi 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 no ice 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.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
(Signed)
Master Electrican.
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 be has carefully read the foregoing application, and that be 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
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
_ �
-'�--7—
2
J
/
1
{
/
�!
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
Permit No .(� >
•
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 of work.
Owner's Name and Address
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
•
Date
No.________ ______ - -- - - - - _ Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street_', a? : ______-__
Location and Legal Description Lot ��' __�- Block Subdivision_ ______________A' " r,
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) -
New Building Remodeling Addition. Repairs___________________ No of Stories
Service
Overhead Size Feeders__=____ Conduit._'_____ Main Sw.__� __ Amps.
Type of Installation -- Conduit Tubing s-� ____ B.X.L __________ ______Metal Moulding _________ ___— _______________A______________
Main Fuses_
Amps.
--- r r
Amount of Permit $_ / -\ (Signe4) -,_ I ' 1., Y 't 1 s -.
� i 41ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatft as an em er of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplemc , and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hi 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 no ice 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.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
(Signed)
Master Electrican.
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 be has carefully read the foregoing application, and that be 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.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING I I DATE
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot BI.
Description
Address of Value of Amt. of
Building Project Permit
This permit is ggrtanted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation 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.
PERMIT N° 6757
Work to be performed under this Permit
Subdi-
vision
194
Contractor's
License No.
Signed: ; ' (- By _._ T
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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
HOOFING
Owner of
Building
Architect
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 6815
:;ontractor
or Builder
Legal Lot
Description
Address of
3uilding
1 f r
Bl.
DATE 195
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Value of I Amour_'_ of
Project $ 1 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 application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
irawings, 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 responsibility for work
:lone by his agents, servants or employees.
Signed. BY:
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
,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
=opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
6
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
OF
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Owner of .. .--
Building
'CONTRACTOR OR BUILDER
Bi
N? 7489
Work to be performed under this Permit_
DATE. ' 19
Contractor's /-
License No.
Subdi-
vision
Address of
--1 / t Value of II Amount of / /
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: / .. " • _ ,` IIISPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with di/ 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 all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
1.1OT 1iN'
Amount of Permit $
Permit No _ Date_
Applica:ion 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 of work.
APPLICATION FOR ELECTRICAL PERMIT
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name Y _
Location and Legal Description Lot _____ ______________�______________ Block Subdivision ___— ________________________.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling a Addition
Service Overhead Size Feeders Conduit_______ Main Sw.________ _____ Amps. Main Fuses____________ Am s
Underground P — P
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No. Street__ _=
' No Street___
Repairs No. of Stories.
(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 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.
(Signed)
/ `
Street____] --
Master Electrican.
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
of the above described construction, that be 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
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit $
Permit No _ Date_
Applica:ion 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 of work.
APPLICATION FOR ELECTRICAL PERMIT
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name Y _
Location and Legal Description Lot _____ ______________�______________ Block Subdivision ___— ________________________.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling a Addition
Service Overhead Size Feeders Conduit_______ Main Sw.________ _____ Amps. Main Fuses____________ Am s
Underground P — P
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No. Street__ _=
' No Street___
Repairs No. of Stories.
(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 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.
(Signed)
/ `
Street____] --
Master Electrican.
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
of the above described construction, that be 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.