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ELECTRICAL4 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 5607 Architect Contractor or Builder Legal Lot Description II Bl Address of Building CONTRACTOR OR BUILDER Work to be performed under this Permit Subdi- vision Value of Project $ DATE Contractor's License No. Le 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. f " / .� ,�// 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 19 Amount of Permit $ ♦Y3OT Overhead Service Size Feeders /GOnduit Underground Type of Installation— Conduit Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 5 MIAMI SHORES VILLAGE 5 rr , ELECTRICAL INSPECTION DEPARTMENT PERMIT APPLICATION FOR ELECTRICAL PERMIT T Permit No ,�,, � •r� Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sup tted for the buil 1ng or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 Somplied 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 - !l � ) , Z e No 2 Registered Architect and /or,Engineer Employing Electrician's Name ....- SS. --- (, ( , - - Tubing B:X.L Metal Mouldine � (Signed). Street / d Street Location and Legal Description Lot Block Subdivision 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 , � /1 Main Sw G Apses Main Fuses Amps C - ? 4 Elect ' .1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, ,asiare licensed by Miami Shores Village. - - / j L � �✓ O..n� ' 1 • i It e (Signed).// t Master E (ec&rician. 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. 0 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE' 'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. ACE HATER STRIP H EATER TOTAL CONTR. LIST / 2� J �/ " / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Overhead Service Size Feeders /GOnduit Underground Type of Installation— Conduit Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 5 MIAMI SHORES VILLAGE 5 rr , ELECTRICAL INSPECTION DEPARTMENT PERMIT APPLICATION FOR ELECTRICAL PERMIT T Permit No ,�,, � •r� Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sup tted for the buil 1ng or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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 Somplied 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 - !l � ) , Z e No 2 Registered Architect and /or,Engineer Employing Electrician's Name ....- SS. --- (, ( , - - Tubing B:X.L Metal Mouldine � (Signed). Street / d Street Location and Legal Description Lot Block Subdivision 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 , � /1 Main Sw G Apses Main Fuses Amps C - ? 4 Elect ' .1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, ,asiare licensed by Miami Shores Village. - - / j L � �✓ O..n� ' 1 • i It e (Signed).// t Master E (ec&rician. 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. 0 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 Bernard No 275 N °E° 92 St . Street Registered Architect and /or Engineer Employing Electrician's Name S. ...STATE...ELEGT IQ No. 9709.. .N.L....27...AVvtreet Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) EXISTING RESIDENCE New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date g i/ 6 1 (Signed ) _r_.d 7 ,e Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed und it, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I Es' (Signed) Master Electricity. 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 REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK • ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1.8 HP TRANS. RADIO TOTAL CONTR. ST LISV 2 -1 HP 2.00 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 Bernard No 275 N °E° 92 St . Street Registered Architect and /or Engineer Employing Electrician's Name S. ...STATE...ELEGT IQ No. 9709.. .N.L....27...AVvtreet Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) EXISTING RESIDENCE New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date g i/ 6 1 (Signed ) _r_.d 7 ,e Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed und it, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I Es' (Signed) Master Electricity. 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. FLOORS F XTURES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAINS SUBS BRANCHES BASEMENT — FIRST SECOND THIRD FOURTH OWNER LIGHTS STREET AND NUMBER 6f/ CEILING KIND OF INSTALLATION RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN BRACKETS ROUGH WIRING FINAL P NO CORRECTED TEMPORARY DAYS. DATE ISSUED ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National E ectr Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND A CURATE INFORMATION ALL SPACES MUST BE FILLED OR APPLICATION ) j> WILL BE RETURNED. V LOT NUMBER BLOCK,NO R SUBDIVISION Apr,„ ,, %9, A r 7 BUILDING — NEW OR OLD (UNDERLINE WHICH) RECEPTACLES APPLICATION OPEN OR CONCEALED FEE REMITTED 4' C_ SPECIFICATIONS H. P. OF EACH MOTOR VOLTS SWITCHES DATE S ' E %ELO W F; INSPECTOR'S USE ONLY SIDF NO. r� 193 OCCUPANT OCCUPIED AS • WORK— ADDITIONAL, NEW, ALTERATION OR REPAIR. TOTAL AMPS PHASF STOVES WATER HEATERS SIGNS OTHER APPARATUS KNOB, RX., BX., MLDG. CONDUIT REMARKS i , % CONTRACTOR � ' INSPECTION WANTED I BY p' ADDRESS INSPECTED I ' _G%_ REMARKS .�/- ✓r INSPECTOR 7 FLOOR N UMBER OF SIZES OF OPEN OR CONCEAL'D NUMBER Of CIRCUITS Outlets I Motor Gen. Main Sub I Branch INSULATION Basement .... First Second Third Fourth Other Floors l ... r Street and Number /..,, Y Owner '7 Occupied as H. P. of each motor Number of Motors 177— Outlets Motors REMARKS: Work will be started Received by Inspector " CERTIFICATES Progress Will Inspect Again Rough Wiring FINAL No. Corrected Temporary Days Approved Letter Date Issued FLOPIDA PRINTING CO MIAMI PLA Form 156— P.O.30332- 2- 10 -26 -5M ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. LL SPACES MUST BE FIL ED„, R APPLICATION WILL BE RETURNED.) A , o Lot Number Block Number , c 1'‘ Side Building —New or Old (underline which). Work— Additional or New (underline which). SPECIFICATIONS H.P Volts Amps Receptacles Greatest Number of Lights on one Branch / (Nature of Work) Open — Concealed. Knob — MIdg.— Conduit / Generators DEFECTIVE Time Allowed: APPLICATION Days Occupant Stoves (Applicant sign here) Date Water H'tersl Signs C , SPACE BELOW FOR INSPECTOR'S USE ONLY Inspected � ... Phase Billboards will be finished Address Street 7 !� i M Other Apparatus , 192 Correct Location Correct Equipment Electric Light Co. c5 _ Fee remitted ..d s Remarks: , Inspector FLOORS F XTURES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAINS SUBS BRANCHES BASEMENT—,,, FIRST - J 3 ,-, %) I✓ ; "� y-` --111 Z! � SECOND THIRD FOURTH Form 246 INCORP 18 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION ALL SPAC WILL BE RETURNED. J A. L WI 1 .1 ".,...(.7/7 , LOT NUMBER f BLOCK NUMBER " SUBDIVISION 6 a � STREET AND NUMBE 1 7 ,�1 M , r, 6 Z , C' l 5 K SIDF OWNER " C- c. v OCCUPIED As BUILDING —NEW OR OLD (UNDERLINE WHICH) H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF LIGHTS REMARKS CONTRACTOR ROUGH WIRING FINAL No CEILING RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN APPLICATION N DATE I 1 ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. BRACKETS CORRECTED TEMPORARY DAYS. DATE ISSUED RECEPTACLES KIND OF INSTALLATION OPEN OR CONCEALED WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR. SPECIFICATIONS SWITCHES OCCUPANT BY ADDRESS STOVES WATER HEATERS KNOB, RX.. BX.. MLDG. CONDUIT INSPECTION WANTED , ,3 , ) PACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED REMARKS MUST BE FILLED OR APPLICATION SIGNS Y ,. . OTHER APPARATUS FEE REMITTED INSPECTOR : '1 Permit No Owner's Name and Address Registered Architect and /or En ii er STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT �. Date _ -7C 1 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. , Employing Electrician's Name J1 88. No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No -5 n Str et State work to be erformed and p purpose of building (By Floors) „lt.,_s.. New Building Remodeling Addition / Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p p Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) a, 7 No. f i... Street SLJ 4C' S' Street Amount of Permit $ (Signed) Electra Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm t Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or jsub•contractors .cloyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit‘ of the work suc public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed undey' this pe licensed by Miami Shores Village. as f ' Master Elect 'cian. are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP H EATER TOTAL CONTR. LIST ` / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Owner's Name and Address Registered Architect and /or En ii er STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT �. Date _ -7C 1 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. , Employing Electrician's Name J1 88. No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No -5 n Str et State work to be erformed and p purpose of building (By Floors) „lt.,_s.. New Building Remodeling Addition / Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p p Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) a, 7 No. f i... Street SLJ 4C' S' Street Amount of Permit $ (Signed) Electra Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm t Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or jsub•contractors .cloyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit‘ of the work suc public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed undey' this pe licensed by Miami Shores Village. as f ' Master Elect 'cian. are 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. Owner's Name and Address.. ° Overhead Service Underground Size Feeders STATE OF FLORIDA, } COUNTY OF DADE. ss' ELECTRICAL INSPECTION DEPARTMENT AP ``L ICe4TION FOR ELECTRICAL. PERMIT (-77q MIAMI SHORES VILLAGE Permit`1�, '"� 1 1 Date ' V. �® Applicat is, rereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure l ein 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. tWN No.. 7r Registered Architect and/or Engineer Employing Electrician's Name...... A __'!:...: 1 "" No a Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) tb` ft AT ;0A) ee New Building Remodeling Addition Repairs. Amount of Permit $ 2l - 2 e " itonduit... n Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L .Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) fi...... • Master Electrician. ° Street 7 str No. of Stories Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T•s FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER ®. e 3)4Y" TOTAL � CONTR. LIST 7 ®o 7 Q Q 4 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1.5 HP TRANS. RADIO TOTAL CONTR. LIST ®�®AL° • )°l 4 CHECK Owner's Name and Address.. ° Overhead Service Underground Size Feeders STATE OF FLORIDA, } COUNTY OF DADE. ss' ELECTRICAL INSPECTION DEPARTMENT AP ``L ICe4TION FOR ELECTRICAL. PERMIT (-77q MIAMI SHORES VILLAGE Permit`1�, '"� 1 1 Date ' V. �® Applicat is, rereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure l ein 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. tWN No.. 7r Registered Architect and/or Engineer Employing Electrician's Name...... A __'!:...: 1 "" No a Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) tb` ft AT ;0A) ee New Building Remodeling Addition Repairs. Amount of Permit $ 2l - 2 e " itonduit... n Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L .Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) fi...... • Master Electrician. ° Street 7 str No. of Stories 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.