680 NE 93 St (3)MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
,
Permit No Date
Owner's Name and Address 4.1_, 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 M iami 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.
Street___, 3 5 °
Registered Architect and /or Engineer
Employing Electrician's Name_ Hr �7 __`G �_____ No.1 7! Street —4/ luf S P
Location and Legal Description Lot / 0 t L._ 7 Block___ —3 Subdivision % ‘'S
Street and Number where work is to be performed —No 6 ___. Street 3 &rt:
State work to be performed and purpose of building (By Floors)
New Building ' Remodeling Addition Repairs No. of Stories
Ir
Servi :- Overhea_.► erground Size Feeders_ ___ (�____ Conduit_) ' Main Sw Amps Main Fuses Amps
n.
Type of Installation — Conduit \A.l Tubing B.X.L. Metal Moulding
Amount of Permit $ (Signed)
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 p osted 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ss.
(Signed) 4 94" 4 44 0 4
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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.
NIy 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
$
/ 0
I �9
Y
I y�
F fd
/
/
1
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
,
Permit No Date
Owner's Name and Address 4.1_, 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 M iami 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.
Street___, 3 5 °
Registered Architect and /or Engineer
Employing Electrician's Name_ Hr �7 __`G �_____ No.1 7! Street —4/ luf S P
Location and Legal Description Lot / 0 t L._ 7 Block___ —3 Subdivision % ‘'S
Street and Number where work is to be performed —No 6 ___. Street 3 &rt:
State work to be performed and purpose of building (By Floors)
New Building ' Remodeling Addition Repairs No. of Stories
Ir
Servi :- Overhea_.► erground Size Feeders_ ___ (�____ Conduit_) ' Main Sw Amps Main Fuses Amps
n.
Type of Installation — Conduit \A.l Tubing B.X.L. Metal Moulding
Amount of Permit $ (Signed)
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 p osted 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
ss.
(Signed) 4 94" 4 44 0 4
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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.
NIy Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBIN(
Contractor
or Builder
Legal
Description
Lot ,
MIAMI SHORES VILLAGE, FLORIDA'
DATE . > (( 194
k
PERMIT N? 7495
Work to be performed under this Permit
Owner of V r c? /''
Architect _____, 2■Ii'a - t_rr A. -7
0 ( 10
Bl. 6 3
Subdi-
vision
Address of
Building (' ,s
This permit is granted to the contractor or builder named above to construct the building o to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the, plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stateme,' is or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Value of
Project
)'1`C '•\ !! ls, ;,. ''- �-�% B " > Y
Signed. , ++��
INSPECTOR /
nsideration of the issuance to me of this permit I agree to perform the 6rk covered hereunder in compliance with all ,ptdinances an4 regulati s
pe fining / ' ereto and in s ct�onformity with the plans, drawings, statements o specifications submitted to the proper authoritie'S of Miami S r Village.
In acct this p 7 it I q responsi for all work done by either myself, my agent, servant or employee.
, g , / / \� -� �
C ONT$AOTOR OR iJ I ER:; , -'..- '((. --
BY
C ontractor's
License No.
X
v
AUTHORITY
Amt. of '�.
Permit f-=
Amount of Permit $
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fo 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 Engine
Employing Electrician's Name
APPLICATION FOR ELECTRICAL PERMIT
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
(Signed)
(Signed)
7 0
Street ./ ! 3
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
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
lectricel Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida /rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra p rs 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 w, such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perf . med under t . is permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, , l
COUNTY OF DADE. ! j
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
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
•
,_ /
7 P /
CHECK
Amount of Permit $
Permit No Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fo 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 Engine
Employing Electrician's Name
APPLICATION FOR ELECTRICAL PERMIT
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
(Signed)
(Signed)
7 0
Street ./ ! 3
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
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
lectricel Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida /rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra p rs 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 w, such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perf . med under t . is permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, , l
COUNTY OF DADE. ! j
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.