ELECTRICALBUILDING
ELECTRICAL
PLUMBING
Contractor
or Builder
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 5017
Architect
Bl.
Subdi
vision
DATE
Contractor's
License No.
Work to be performed under this Permit
Owner of
Building r ..•�
Address of ty { of Permit m . of
Building Project
This permit is granted to the contractor or ]wilder named above to construct the building or to install the equipment or deice d6scribed in the appli-
cation herefor in stric 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.
CONTRACTOR OR BUILDER
�
Signed • By
INSPECTOR
194
/ /
AUTHORITY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regul ons
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores V . age.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
PERMIT N? 5103
Work to be performed under this Permit ''�` ' '' '" " `'�`✓' �'
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
MIAMI SHORES VILLAGE, FLORIDA
Lot �` I Iil. Subdi-
Y � - - vision �" i ., tom, /
f �
Address of . _ tf . ..011111. Value of Amt. y ' � /
Building t i ! ` .•�' .11: Project Permit / G
This permit i granted to the contractor or bilder 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 tta w sibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans br'wm7s or in e or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. 4
DATE
Contractor's
License No.
.t • : ,l B
Signed. '�.: . • By
INSPECTOR
194_7
In coxsideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and re ations
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
ROOFING
0
Architect
Contractor
or Builder '
Legal Lot
Description II Bl
OONTRACrOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Owner of
Building
N9 5687
Work to be performed under this Permit -
DATE 19
Contractor's
License No.
Subdi-
vision
Address of Value of II Amount of
Building i 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. - INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances arid Tegulations
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.
BY AUTHORITY A o IOT °�''
MIAMI SHORES VILLAGE, FLORIDA
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect •
Lot
Contractor �� ,
or Builder '
PERMIT N? 5017
Work to be performed under this Permit
•
Bl.
Subdi-
vision
DATE /
Contractor's
License No
...nal" 194
Legal
Description
Address of
Building
This permit is 'anted to the contractor or der named above to construct the building or to install the equipment or de ice d scribed in the appli-
cation herefor in stric 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.
CONTRACTIR OR BUILDER
Cis
Value of
Project
Amt. of
Permit
Signed By �. .. 1 "' ' Jr
. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all dances and re 1
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti bf'Miami Shores
In acceptinthis permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
age.
1
•
Permit No
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
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
No. '___ Street
Employing Electrician's Name ! __ =�_ No. _ n Street -'
Location and Legal Description Lots 't ____ ____�_______ Block
Street and Number where work is to be performed —No Street "
State work to be performed and purpose of building (By Floors)
New Building f Remodeling Addition.. Repairs No. of Stories
Service Overhead Size Feeders_ Conduit :
_ ______ Main Sw '"( -' _ Am s.
Underground P Main Fuses
Type of Installation— Conduit Tubing__ . B.X.L Metal Moulding
Amount of Permit $__
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, onork to be performed under this permit, as are
licensed by Miami Shores Village. �.
My Commission Expires
_(Signed)
(Signed
Notary Public, State of Florida
•
Date_�_.�.�
Amps.
Electrical Inspector.
Master Electrican.
STATE OF FLORIDA,
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'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
LIST
‘ /;i
/
CHECK
°
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
1
•
Permit No
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
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
No. '___ Street
Employing Electrician's Name ! __ =�_ No. _ n Street -'
Location and Legal Description Lots 't ____ ____�_______ Block
Street and Number where work is to be performed —No Street "
State work to be performed and purpose of building (By Floors)
New Building f Remodeling Addition.. Repairs No. of Stories
Service Overhead Size Feeders_ Conduit :
_ ______ Main Sw '"( -' _ Am s.
Underground P Main Fuses
Type of Installation— Conduit Tubing__ . B.X.L Metal Moulding
Amount of Permit $__
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, onork to be performed under this permit, as are
licensed by Miami Shores Village. �.
My Commission Expires
_(Signed)
(Signed
Notary Public, State of Florida
•
Date_�_.�.�
Amps.
Electrical Inspector.
Master Electrican.
STATE OF FLORIDA,
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.
•
D
/i
/ /(
BUILDING
° ELECTRICAL
PLrUMBING
Architect
In c
pertainin
In a
Building U � ./
Building /
/,,/ \ MIAMI SHORES VILLAGE, FLORIDA
/PERMIT
Contractor's
License No.
Work to b performed under this Permit ,_;
• 1
N2 5103
Pa,/
- Ogn
sibility for work done by his agents, servants or employees. 1. 9
BY
DATE
t' 3
Contractor '`
or Builder , ! <, L� = ' t" o �,. �1 , � ,./9 J« .
Legal Lot t) & 1 `81 9 Subdi- 4 i ti
Description ) �, y t => vision , "� ` -
Address of `:� �' � Value of 1 Amt.
Building . - - ' '' = Project Perm.. , e i t v
This permit s granted to the contractor or '`' ilder named above to construct the building or to install the equipment or .'evice described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work wil 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 w lout authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the;res nsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans ordfawf s or in e'S1' meats or specifications and that he assumes respon-
Signed , v , / '� B
INSPECTOR
sjcceration of the issuance to me of this permit I agree to perform r the work coVered hereunder in compliance with- silirdinances Ind' 15jions
reto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
a d� 1i �
,f4
CONT R ACTOR OR BUILDER
AUTHORITY
1 94 77
Permit No /
Owner's Name and Address
Amount of Permit $_
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby r}(ade 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.
ss.
Registered Architect and /or Engineer _
r (G
Employing Electrician's Name ___� ._ = _? j2__ k <.":
My Commission Expires
MIAMI SHORES VILLAGE
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
Date
Subdivision
/
No._____ Z _ _ _________ Street___. -__ -_L
No J / Street_ __ '
Street r__
�4--- ---- - - --
____ No. of Stories_ ______
____ —_
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit: and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly
imps.
Main Flu
B.X.L Metal Moulding ___— ___�r�
Main Sw
(Signed)
Amps
(Signed) — — � _ ' f s
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
Master Electrican.
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 he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
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
.
Permit No /
Owner's Name and Address
Amount of Permit $_
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby r}(ade 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.
ss.
Registered Architect and /or Engineer _
r (G
Employing Electrician's Name ___� ._ = _? j2__ k <.":
My Commission Expires
MIAMI SHORES VILLAGE
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
Date
Subdivision
/
No._____ Z _ _ _________ Street___. -__ -_L
No J / Street_ __ '
Street r__
�4--- ---- - - --
____ No. of Stories_ ______
____ —_
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit: and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly
imps.
Main Flu
B.X.L Metal Moulding ___— ___�r�
Main Sw
(Signed)
Amps
(Signed) — — � _ ' f s
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
Master Electrican.
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 he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
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.
—
Permit No.__. Date g — I - t i
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 Engin
of
Employing Electrician's Name
Location and Legal Descriptio __---- ______w__
Street and Number where work is to be performed —No d � � G � �__ / s Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs .__ -- No. of Stories
Service Overhead Size Feeders
Underground
Type of Installatiy i—Conduit Tubi��yyyBBB�
Amount of Permit $_
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
0
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
Before me, the undersigned authority, a notary public, duly
No. / ��--
Metal Moulding °fe®
(Signed)
(Signed
-�"
Street__E i _ L._`_ _____,L
Conduit._____ —_ —__ Main Sw. Amps. Main
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub- contractors, on work to be performed under this permit, as are
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 t h e _
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Street Il ? Lir -.
Master Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper nctice 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
—
Permit No.__. Date g — I - t i
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 Engin
of
Employing Electrician's Name
Location and Legal Descriptio __---- ______w__
Street and Number where work is to be performed —No d � � G � �__ / s Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs .__ -- No. of Stories
Service Overhead Size Feeders
Underground
Type of Installatiy i—Conduit Tubi��yyyBBB�
Amount of Permit $_
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
0
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
Before me, the undersigned authority, a notary public, duly
No. / ��--
Metal Moulding °fe®
(Signed)
(Signed
-�"
Street__E i _ L._`_ _____,L
Conduit._____ —_ —__ Main Sw. Amps. Main
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub- contractors, on work to be performed under this permit, as are
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 t h e _
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Street Il ? Lir -.
Master Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper nctice for inspection, or faulty
materials and /or workmanship.
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 7 /‘
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 1' No 70 F^ ' Street 572 ' S < 1
Registered Architect and /or Engineer
Employing Electrician's Name.t .C.11 G TAN- N00.0* ....i4f../ Street .. ff — La
Location and Legal Deocription Lot Block Subdivision
t i Street and Number where work is to be performed —No � i Z 0 . Street. 1 is2 " .
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 .Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
o
MIAMI SHORES VILLAGE latio
ctrical 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 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
u 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.
Amount of Permit $ IL
(Signed)
(Signed)
a•
STATE OF FLORIDA, 1
COUNTY OF DADE. j e6 '
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 fads
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
RECX'P'T's
FIXTURES
NO. LAMPS
RLPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
NEATER
W. HEAT.
CONN.
$!AC[
Wawa
STRIP
HEATER
TOTAL
CONTR.
LIST
t(
/
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 NP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 7 /‘
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 1' No 70 F^ ' Street 572 ' S < 1
Registered Architect and /or Engineer
Employing Electrician's Name.t .C.11 G TAN- N00.0* ....i4f../ Street .. ff — La
Location and Legal Deocription Lot Block Subdivision
t i Street and Number where work is to be performed —No � i Z 0 . Street. 1 is2 " .
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 .Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
o
MIAMI SHORES VILLAGE latio
ctrical 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 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
u 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.
Amount of Permit $ IL
(Signed)
(Signed)
a•
STATE OF FLORIDA, 1
COUNTY OF DADE. j e6 '
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 fads
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, FLA.
JOB
ADDRESS
INSPECTION
TIME READY
REMARKS : -
N9 6230