Loading...
ELECTRICALMIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No �� Date ______ ��� �� 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 _ 15_x____ Street__j , yr fft Registered Architect and /or Engineer __ __ ___W_ __W_____ Employing Electrician's Name �'_ _± R= / `/ 4 o Street ----_ Location and Legal Description Lot____s, 0 _________ Block___ _ S Street and Number where work is to be performed—No _g> _�i_ �, Street___ State work to be perfor ed and purpose of building (By Floors) New Building Remodeling Addition /Repairs_ Service Overhead Size Feeders Conduit._ Main Sw. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ J My Commission Expires (Signed) (Signed) ` Amps. Main Fuses Amps. OIL No. of Stories.. 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, rk to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Master Elect can. STATE OF FLORIDA, k COUNTY OF DADE. ss. 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 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'T'8 FIXTURES NO.LAMPS REFRIG. 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No �� Date ______ ��� �� 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 _ 15_x____ Street__j , yr fft Registered Architect and /or Engineer __ __ ___W_ __W_____ Employing Electrician's Name �'_ _± R= / `/ 4 o Street ----_ Location and Legal Description Lot____s, 0 _________ Block___ _ S Street and Number where work is to be performed—No _g> _�i_ �, Street___ State work to be perfor ed and purpose of building (By Floors) New Building Remodeling Addition /Repairs_ Service Overhead Size Feeders Conduit._ Main Sw. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Amount of Permit $ J My Commission Expires (Signed) (Signed) ` Amps. Main Fuses Amps. OIL No. of Stories.. 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, rk to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida Master Elect can. STATE OF FLORIDA, k COUNTY OF DADE. ss. 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 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. 1 / Permit No Application ik hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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 G i9/s\i■ , Ged V c No Z S*-8 92 / Street � ` � ' 57-- s . ` Registered Architect and /or Engineer _ Employin Electric a ame... f /Z- //if/,1c 2 ' Z/ T/�/ .. ' � Street ratio and egal Description Lot ih., i t 4 Block Subdivision Street and Number where work is to be performed —No 2- S Street ///.1-- 9 L State work to be performed and purpose of building (By Floors) -/f/C/ 6-'1. Amount of Permit 5.. a STATE OF FLORIDA, COUNTY OF DADS I ea. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ot (Signed). (Signed) eJE New Building Remodeling Addition. Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing.. ... B.X.L.. Metal Moulding ‘Nt•v 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 com pliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on t tie as are required by the Act. The undersigned agrees to employ only such subcontractors, on to licensed by Miami Shores Village. Electric.' Inspector. ccepta his obligations as an employer of of Florida Permanent Supplement, and sub- contractors employed by him in the of the work such public notice or ces be . formedl� this permit are 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 necuury by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE' ►'T's FIXTURES NO LAM•• Remo. . OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIr H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 0 ) / CHECK 1 / Permit No Application ik hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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 G i9/s\i■ , Ged V c No Z S*-8 92 / Street � ` � ' 57-- s . ` Registered Architect and /or Engineer _ Employin Electric a ame... f /Z- //if/,1c 2 ' Z/ T/�/ .. ' � Street ratio and egal Description Lot ih., i t 4 Block Subdivision Street and Number where work is to be performed —No 2- S Street ///.1-- 9 L State work to be performed and purpose of building (By Floors) -/f/C/ 6-'1. Amount of Permit 5.. a STATE OF FLORIDA, COUNTY OF DADS I ea. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ot (Signed). (Signed) eJE New Building Remodeling Addition. Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing.. ... B.X.L.. Metal Moulding ‘Nt•v 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 com pliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on t tie as are required by the Act. The undersigned agrees to employ only such subcontractors, on to licensed by Miami Shores Village. Electric.' Inspector. ccepta his obligations as an employer of of Florida Permanent Supplement, and sub- contractors employed by him in the of the work such public notice or ces be . formedl� this permit are 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 $1.00 will be made when such re-inspection is made necuury by improper notice for inspection, or faulty materials and /or workmanship. lUILDING LECTRICAL 'LUMBING Architect Contractor or Builder CONTRACTOR OR BUILDS$ MIAMI SHORES VILLAGE, FLORIDA PERMIT N. 4413 Work to be performed under this Permit Owner of Building Signed• A Legal Lot � Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or deice describe . in e appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complia 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. Subdi- vision Value of Project PECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances an'd 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 respomsibility for all, work done by either myself, my agent, servant or employee. BY I DATE Contractor's License No. Amt. of Permit B 0 y*rs, 194 k_ r /u AUTHORITY BUILDING ELECTRICA'in, PLUMBING Owner of Building ACTOR O• o MIAMI SHORES VILLAGE, FLORIDA DATE ‘ 194b Contractor's License No. PERMIT N. 4413 1 0, Work to be performed under this Permit Architect ' - Contractor t or Builder ' Legal Lot ,. B 1. Subdi Description vision Address of ! Value of Amt. of Building 1 . / Project Permit This permit'is- granted to the contractor or builder named above to construct the building or to install the equipment or de ice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 dr�ingsor in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants. or employees. Signed. By I PECTOR p . In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance withdLordinances anjreg Ia�ions pertaining thereto and i strict conformity with the plans, 'drawings, statements or specifications submitted to the proper au- tho ffii�bss of Miami Shdie's Villlage. In accepting this pt (assume r x bility for al done by either myself, my agent, servant or employee. BUILDER BY AUTHORITY kY •