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544 NE 93 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Data — Job Address S 14 N Q E (3 St Tax Folio ) 1 3 20 - 014 I o 7 U Levi Des c ti lib ;20 �� ' 3 0, ^ ��I ,T y �S storically Designated: Yes & Io S � ? Sa� clQn 41 A Q 1v P17 Owner/Lessee / Tenant 0 L S 1, f y R a a1., c fr Owner's Address /vG -2 ST Contracting Co. •-no(;/* A/Y+1 i e Qualifier c' r s &p c State # Municipal # Architect/Engineer Bonding Company Mortgagor WORK DESCRIPTION NQ 4✓ )( +c�1s vl r Q4g P, Square Ft. Estimated Cost (value) Master Permit # 4'O /() 7 Phone Address ) ►;i"). o S Te SS# Phone ,c, S7 -0 7/ St Competency # Ins. Co. Address Address Address Permit Type (circle one): BUILDIN ( ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND ?YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signatu, of owner and/or Condo President Date SignYof Conti ctor or Own e-Builder Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 3J' a'O RADON C.C.F. NOTARY TOTAL DUE - No Date APPROVED: Zoning Building Electrical ,' r ij - �u`yf,' Mechanical Plumbing Engineering E121 4 " - 30 34 f--- 48 • SK3[Q4 BO1 I i IcE 1 1 11 6 a 2 W 16 1,✓A 04/24 6484E6.DSN 911.F1 A►I (0N4 TPr/o l� f p);41.c. e f/a fS ra +0 Le -1,0A-1,,o_ e, • ; .^..,-• , • • " , , , ',.--, "'. • ...7 ' 1 i ..) ....7--,. ---,- ; 1 3 1 _ . ; 'TV.:1 ,, ,;',.:-:•---. . •- -.,- - -----•-.7.-_,-...-v—,---,------..---,-...—___ "*.I.+.4,100,./(■••".1., ' 7, ! S 1 1 `. c; r, ■ I.; P,C.".■;C:;;;P:rIc',E '0'11; Ai II: )1:alit., STATE AX COUr! 1 _ES '.-'.tiD it;l.iiii.icirilS. S0ii:3 ‘t;ii_ii.i;`,..ASS:f:li.-.::: i'. ii::.:;i)i): - ;:nr, AC i CY Ci :?E'i.:tii IS iCi■i', ilf,NS. .i k.'..'.' i i li:i :',i r-i.ini ..:Yi. CM i•S f -1 . r2, ',II': A',-::iii':-.■:T, .3tir i ' - : '' •, 1 C.CiNF,IV., AP.L C.;,i,-,f;...`;Xj,;1;,7;, Ti: % ,..,;(....' I,) , .... . ,.., '. :IiiL di...0.. , . 1 1 . ; ...Vt.',,tilt.41),■‘, ;" ■■,.. ; . ! . • ■ - - CEILING BRACKETS RECEPTACLES SWITCHES STOVES WATER HEATERS SIGNS OTHER APPARATUS CEILING BRACKETS OUTLETS MAIN SUBS BRANCHES ABEMENT FLOORS FIXTURES ONLY NUMBER OF TOTAL SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS OUTLETS MAIN SUBS BRANCHES ABEMENT IRST J ECO N D HIRD DURT -- OCCUPIED AS B S T F A•S3 BY CONTRACTOR RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED BUILDING —NEW OR OLD (UNDERLINE WHICH) KIND OF INSTALLATION OPEN OR CONCEALED APPLICATION 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. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. LOT NUMBER BLO K J NUMBER SUBDWISI N STREET AND NUMBER f mo ' SIDF � y OWNER - ^{, OCCUPANT WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTOR VOLTS TOTAL AMPS KNOB. RX.. BX., MLDG., CONDUIT. METALLIC TUBING REMARKS INSPECTION WANTED"" ADDRESS NO DATF 193 PHASF SPACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED REMARKS FEE REMITTED I NSPECTOR II f ..- .- . a.+.l , ± i ♦ « , « + { 4 I I 1-1-1- I I --4 -- --1 I -1- + + . + . _.. t - + - I I + , i + } .y_ 1 1-- }.t -JA - - -t - --4--- -+ a ., - .. tom-_ 4-, - -• 1 17 -7i t t + - -+ ,. . _ , t . + +++-+_ + -,ice i r 4 - ± t- , 1 I I 1 ! 1 ! I + ' \ - -� -f-- r -t � I -1--i + t -t .4 -I- +- +- + -+ r- + _..:__ - . . • - . ti- - r + + a_ - -4 -i -4 + -- + _ 1 r 4 ' - -. + -i- -t + 4 + 1 1 . - �+ - �� ++�..; -- -, . ♦, ._.4._ j I 4-4 -. - + - +- + y—�. 1' t — I I I + ! _- ..... 1 t I + +- 1 -t ifr + T - t + -. 1 1 + + 4 t i- + - + + a ` t ' - + *� _ 9 + - 4 r -* +14. a L 1 -_ _. +- T + - + + -4- . • + - 1 t f » fi t -� . 1- 4-, + -t- _' _ a -� + • i 1+ � 4- 4 1 { L_4 _ .4 �. t +--F I - . + I + + - + 4- --- , + t t 1 + _, }: 1�+ ; +: + - .. _ .- _ 1 ' ' - 1 t --t-1 *-• t + -1 -F 4 -I- 1 I _ t I 1 -4 1 -- -t - 4- ± . 1 • . 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Ji i i i: i i!iiC -I 1 ■ ■N + rt rte , ± j I I 4 1 1 1 1..; 0 1 i i 1 ,___ 1 I _ I r + .1+ --I- i-+ -+ 9 t , trtt ,_ ■■■■■■■■ 11=11111101 11.1111•1•1111. � � �� ■ ■gr •••••••••• allin N ■� =■ ' Y , T- f - n ■� ■ ■ ■ ■N ■ ■ ■�■ 1 ■■ 4 I 1111 _t I= •• =IIIIIIMMIIN 1 + •■ ■ ■:� ■i • � • i I . Li 1 - t ++- ' ■_ i i11 ■■■■■ �■ ■■ ■ ■■ ■■■■ === ( 1 1 �_■ .■ �� i. + � _ _ -.-=+ - �.-+ 4_ ∎ I - _--i 1- +-4 i 1 + 4_,___,,_ u + ■ , -� i al �i ` + - 4 a- - 4 - I I_ +_ 1 -� — r; � 1 _+ 1. �� ` 1 1 �� _,_ ■■■ 1 - ± 1 [ — t +fi +t + i — i I I -' ■ sv FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEALED Number of Circuits Outlets Motor Gen. Main Sub Branch Bement_ _ •s t mnd._ ird q `� v urth ier Floors. V orm 246 AVOID Block v Num Street and Number Side 3-4 . Owner Occupied as Lot Number Work — Additional or New (underline which). SPECIFICATIONS H. P. of each motor Number of Motors_ H P Volts —Amps Phase Building —New or Old (underline which). Ba Fi Se Th Fo Ot Outlets z6, Greatest Number of Lights on One Branch (Nature of Work) Open—Concealed Knob— Mldg.— Conduit REMARKS• Work will be started (Applicant sign here) SPACE BELOW FOR INSPECTORS USE ONLY Re.zeived by Inspector .- 7 ` ) CERTIFICATES Correct Location Correct Equip. Progress Will inspect again Rough Wirin FID'AL Corrected Temporary Approved Letter Date Issue DELAY BY Ir`' s APPLICATION DATE �iL 2 ' . 192 Y Electrical Department of the ' ity of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Flectrical Code and the City Rules pointed out by Inspector. LOCATION GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- Tlbid WILL BE RETURNED Motors I Receptacles Generators I Stoves ( Water Heaterel Signs /- To --3 / Days DEFECTIVE Time Allowed T)ays Will be flnishe { lemarks Billboards I Other Apparatus No /c" 0 Address �j 0/ / q , / Street � ` ? S Yv / / i'4^•" � , nspected Electric Light Co Fee remitted Inspector W Motors .„- Generators Stoves Water Heaters Signs l C% •! l s NO. STREET / PART OF 'LOT LOT BL'K ,. SUBDIVISION - %` / _' ,„,,:c. -F.: -_ .. , ..,,i~ Outlets Motors Receptacles Generators Stoves Water Heaters Signs l C% •! l s i Other Apparatus Permit Fee r • ELECTRICAL PERMIT N. B. —This Permit must be display on the premises during the etstruction. Owner of Building Contractor or Electrician Dated y 1 , 19 c1iami cShores F L O A 1D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., I' c•" - / - 19 -'L8 CfATI0N DESCRIPTION OF WORK NUMBER OF This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies striEtly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami S es Village,' This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulation or upon cha ge�'i 'the ns and specifications unauthorized by this Department. N? 243 • , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all, the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. I (Seal) Form 246 APPLICATION DATE Electrical Department of the Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by Inspector. 193 ity of Miami LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TI WILL BE RETURNE * (..' / Lot Number Block Number Subdivision r -et 1 + ` .)7 Street and ber g " 7 I.,/ – Side • Owner 1 ! - Oc pant // , ' 3' Occupied as Building —New or Old (underline which). Work— Additional, New, Alteration or Repair. H. P. of each motor Volts Total Amps Phase By Lights Kind of Installatio FLOORS Basement_ Firs+ Second Third Fourth REMARKS Contractor Ceiling Li Received by Inspector FIXTURE ONLY NUMBER OF Brackets Ceiling Progress Will Inspect again Rough Wiring FINAL 1 No .).)74 Corrected Temporary _Days Date Issued Receptacles Open or Concealed Knob, RX., BX., Mldg Conduit Brackets SPECIFICATIONS SPACE BELOW ' FOR INSPECTOR'S USE ONLY � 0 ( Inspated Remarks i r ; Switches Total Outlets 1 Inspection Wanted Fee remitted 1 Stoves I Water Heaters /\1e'e )' 3c t Mains SIZE OF Subs Branches Signs I Other Apparatus Size Service Conduit No. Circuits j _____Address Inspector FLOORS F XTURES ONLY NUMBER OF TOTAL OUTLETS S IZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAINS SUBS BRANCHES BASEMENT -- - FIRST •■ • 11 1 SECOND 1 THIRD FOURTH Form 246 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION ALL WILL BE RETURNED. LOT NUMBER STREET AND NUM BER � OWNER OCCUPIED As BUILDING — NEW OR OLD (UNDERLINE WHICH) H. P. OF EACH MOTOR VOLTS DATE '�� L - Z- 193 I ELECTRICAL DEPARTMENT OF THE TY 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. BLOCK NUMBER /� 1T // //// ,/� �j J 7 ...�� SUBDIVISION '?' ✓ . / Q `� LIGHTS CEILING KIND OF INSTALLATION BRACKETS REMARKS CONTRACTOR BY RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No LLI_L_ . 1 11 MIA M FLA. CORRECTED TEMPORARY DADS. DATE ISSUED RECEPTACLES APPLICATION NO. j / G 1 OCCUPANT WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR. SPECIFICATIONS SWITCHES ADDRESS STOVES / - 5300 W SPACES MUST BE FILLED OR APPLICATION TOTAL AMPS WATER HEATERS SIDF SIGNS PHASF OTHER APPARATUS OPEN OR CONCEALED KNOB, RX., BX.. MLDG. CONDUIT INSPECTION WANTED c / 31 7l — .r� ((( .:pJ • SPACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED y REMARKS FEE REMITTED INSPECTOR FLOOR 13asement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic (Applicant sign here) NUMBER OF LIGHTS Received by Inspector CERTIFICATES Progress Will inspect aga Rough WirinK FINAL No Corrected Temporary Days Approved Letter Date Issued Form 165 DEFECTIVE Time Allowed: APPLICATION No L.�' --1 �' FOR FIXTURE WORK ONLY 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. ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED. Lot Number Mock Number Street and Number Side Owner Occupant Occupied as Building —New or Old (underline which). Work— Additional or New (underline which). SPECIFICATIONS CEILING OUTLETS Correct Location Correct Equipment Days Date , 192 BRACKET OUTLETS NUMBER OF CIRCUITS SPACE BELOW FOR INSPECTOR'S USE ONLY Inspecte REMARKS Work will be started will be finished Address 1 Street y Electric Light Co Fee remitted /00 7..S — C 2 Remarks • FLOORS F XTURES ONLY NUMBER OF TOTAL OUTLETS S IZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAINS BUGS BRANCHES BASEMENT_ FI RST - 40 i `/ / i /. _.M SECOND THIRD FOURTH Form 246 LO CATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION ALL SPACES MUST BE FILLED OR APPLICATION 0 WILL BE RETURNED. / LOT NUMBER BLOCK NUMBER 5 ! ,n SU DI / ..-- _�L..&_ -, -le STREET AND NUMBER / /�' • ` CJ - ` C - v /-� SIDF OWNER f - - - 42/ OCCUPANT Al -Q OCCUPIED AS BUILDING — NEW OR OLD (UNDERLINE WHICH) WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR. SPECIFICATIONS H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF BY_ LIGHTS CEILING CONTRACTOR RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN DATE— 193_L- ELECTRICAL DEPARTMENT OF TH 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 ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED RECEPTA SWITCHES APPLICATION KIND OF INSTALLATION OPEN OR CONCEALED KNOB, RX., BX., MLDG. CONDUIT REMARKS r\ IR1t, . I fit P! `!1C I,1ry INSPECTION WANTED hli.r11111 FLA. ADDRESS REMARKS STOVES WATER HEATERS / — � 20 0 o (4) Sr E BE OW FOR INSPECTOR'S USE ONLY INSPECTED Ho . � SIGNS 3/ FEE REMITTED I / OTHER APPARATUS I RECTO Permit No Amourt of Permit $ . 6 / -44-4 1 6 STATE OF FLORIDA, 1 COUNTY OF DADE. se ' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. ;7/19 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, Fiv:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's 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 k No yY Street Regibtered Architect and/or Engineer .. // Gr y n le fl e e �i� � � a No g b / 0 / / ` Loca .ion and Legal Description Lot F � 7 7 • W .P01 3 Block S 7 Subdivision Streea 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 Servia; Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing.. ... B.X.L Metal Moulding ey WQ 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 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, on w to be performed uni4r this permit, as are licensed by Miami Shores Village. (Signed) (Signed) VVA oaths and take Street /V.g. /37 74 S7` Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer 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. acknowledgments, personally NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper nonce for inspection, or faulty materials and /or workmanship. SWITCH O LIGHT OUTLETS PLUO RECE' ►'T's FIXTURES NO LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANO( CONN. WATER HEATER W. HEAT. CONN. SPACE 14 STRIP H ��/ Lei TOTAL CONTR. LIST / CHECK f r a ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS Q. HP MOTORS 1.0 HP NEON TRANS. RADIO //�� JJ ° .// 177�r�� TOTAL CONTR. LIST Z CHECK wwa,,/// M /Cj Permit No Amourt of Permit $ . 6 / -44-4 1 6 STATE OF FLORIDA, 1 COUNTY OF DADE. se ' My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. ;7/19 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, Fiv:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation's 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 k No yY Street Regibtered Architect and/or Engineer .. // Gr y n le fl e e �i� � � a No g b / 0 / / ` Loca .ion and Legal Description Lot F � 7 7 • W .P01 3 Block S 7 Subdivision Streea 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 Servia; Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing.. ... B.X.L Metal Moulding ey WQ 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 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, on w to be performed uni4r this permit, as are licensed by Miami Shores Village. (Signed) (Signed) VVA oaths and take Street /V.g. /37 74 S7` Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer 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. acknowledgments, personally NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper nonce for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date l i � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other at-ucture 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 regulation. 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 progreu of work. Owner's Name and Address G- eey Registered Architect and /or Engineer Employing Electrician's Name C 4 4 - 4 1 (4e - N / 297 3 S ' 55 ,over Street X01.20 - 3 - /0 70 -5 Location and Legal Description Lot Block .1 7 Subdivision /h Z4* s Aron to s S `•c Street and Number where work is to be performed—No ....S. . Street ? 3 Sr State work to be performed and purpose of building (By Floors) New Building Remodeling Additiun Repairs Servi Type rhead Site Feeders. 3 74> erground of Installation- (Condui ) . 7 Amount of Permit $ pl f 1. Conduit .2 Tubing. ... 1/ tido... Main Sw 7i,e) B.X.L 0 (Signed) (Signed) / No 14e /V% Street... No. of Stories 9-- Amps 2 0 0 Main Fuses Amps .Metal Moulding 2— 2 7.3va /0C 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 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 worker performed under this permit, as arc licensed by Miami Shores Village. Master Electrician. STAVI OF FLORIDA, COUNTY OF DADE. I '°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me eoell 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. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 0 LION? 0 PLUG RECE'P•T's FIXTURES NO LAM •S REFR10. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. HEAT. CONN. SPACE NEATER STRIP H TOTAL CONTr . LIST CHECK EMT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM •�. p�! 1 •,F 7 MOTORS 0.1 HP MOTORS 1.3 HP NEON TRANS. RADIO RADIO - TOTAL GL LIST el e _ l E '��(ql � -�%( � ! Z L )( TON , CHECK A %� / / ,,,ryA / a /yR MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date l i � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other at-ucture 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 regulation. 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 progreu of work. Owner's Name and Address G- eey Registered Architect and /or Engineer Employing Electrician's Name C 4 4 - 4 1 (4e - N / 297 3 S ' 55 ,over Street X01.20 - 3 - /0 70 -5 Location and Legal Description Lot Block .1 7 Subdivision /h Z4* s Aron to s S `•c Street and Number where work is to be performed—No ....S. . Street ? 3 Sr State work to be performed and purpose of building (By Floors) New Building Remodeling Additiun Repairs Servi Type rhead Site Feeders. 3 74> erground of Installation- (Condui ) . 7 Amount of Permit $ pl f 1. Conduit .2 Tubing. ... 1/ tido... Main Sw 7i,e) B.X.L 0 (Signed) (Signed) / No 14e /V% Street... No. of Stories 9-- Amps 2 0 0 Main Fuses Amps .Metal Moulding 2— 2 7.3va /0C 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 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 worker performed under this permit, as arc licensed by Miami Shores Village. Master Electrician. STAVI OF FLORIDA, COUNTY OF DADE. I '°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me eoell 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. 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.