485 NE 92 St (2)3
APPLICATION FOR ELECTRICAL PERMIT
/47 aaCS
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of ami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regu ations 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. ♦ ,y
Owner's Name and AddressA01:5 hit . No 48
Registered Architect and /or Engineer. te . E mploying Electricians Name .� _� �:.. ...:. �,,,..No
Location and Legal Description Lot • f.2. ''?.,_. Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Permit No
C1 - Service
ZZ9
Overhead Size Feeders a Conduit Main Sw 70e Amps
Underground
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
My Commission Expires
/e
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signe
Date
Subdivision
4/, Street.
c
New Building ,.rte, Remodeling Addition Repairs No. of Stories
Type of Installation— Conduit Tubing B.X.L Met ayl Moulding
The undersigned applicant for this building permit does hereby certify thunderstands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub•contractors, or yvgtrc to
licensed by Miami Shores Village.
Main Fuses.. Amps
(Signeell' +K L4 Cb " .
Electrical
nspector.
ccepts his obligations as an employer of
of Florida Permanent upplemert, and
subcontractors emplo ed by him in the
of the work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
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.
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
FIXTURES
NO. LAMPS
W
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
(
RANGE
CONN.
WATER
H EAA T ER
/'
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
r s�f
y
A
TOTAL
�CL87
/�
A CHECK
5
EEss�
l GLi
/CC
75
56
+i S
a l 5"
`
ENT.
SW.
DIST.
CAS.
SERVICE
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
N EON
TRANS.
RADIO
TOTAL
LIST
9
-----TEMP.
F
, .TM: ., �.,..
' . `F >"
`I' CHECK
4.
®
E �
,g
J
� \
�M...
'7
3
APPLICATION FOR ELECTRICAL PERMIT
/47 aaCS
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of ami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regu ations 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. ♦ ,y
Owner's Name and AddressA01:5 hit . No 48
Registered Architect and /or Engineer. te . E mploying Electricians Name .� _� �:.. ...:. �,,,..No
Location and Legal Description Lot • f.2. ''?.,_. Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Permit No
C1 - Service
ZZ9
Overhead Size Feeders a Conduit Main Sw 70e Amps
Underground
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
My Commission Expires
/e
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signe
Date
Subdivision
4/, Street.
c
New Building ,.rte, Remodeling Addition Repairs No. of Stories
Type of Installation— Conduit Tubing B.X.L Met ayl Moulding
The undersigned applicant for this building permit does hereby certify thunderstands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub•contractors, or yvgtrc to
licensed by Miami Shores Village.
Main Fuses.. Amps
(Signeell' +K L4 Cb " .
Electrical
nspector.
ccepts his obligations as an employer of
of Florida Permanent upplemert, and
subcontractors emplo ed by him in the
of the work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
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.
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.