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ELECTRICALBUILDING ELECTRICAL PLUMBING Owner of Building (? MIAMI SHORES VILLAGE, FLORIDA DATE f` PERMIT N9 6511 Work to be performed under this Permit Architect Contractor or Builder Legal Lot = {BI. Description Subdi- vision Signed. " `r f Contractor's License No. 194 Address of Value of Amt. of Building �{ f !` ' �, ' r 1 �. ' r� Project Permit j This pertlt is granted to the contractor or Mulder named�a'�ove to constn.ct the building or to install the equipment or device escribed in the appli- cation herefor fn strict compliance with all ordinances pertaining thereto and witl the understanding that the work will be performed n compliance with any plans, drawings, statements or specifications that may have been submitted to anc 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 .glans 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 (4r drawings or in the statements or specifications and" that he assumes respon- sibility for work done by his agents, servants or employees. By °INSPECTOR In consideration of the issuance to me of this permit I agree to perform th3 work covered hereunder in compliance with .4 ordinances and -jegglations pertaining/thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shore,* Vilrage. In afcep►ing this permit I assume responsibility for all work done by either myse f, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No Date Application is hereby made for the approval of the detailed statement of the pans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformit/ 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 Employing Electrician's Name Location and Legal Description Lot_ __:4____ Block_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floo sf ) Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Street -- No. -- Street______- New Building Remodeling Addition Repairs ____ No. of Stories Service Overhead Size Feeders Conduit – Sw._____ __ Amps. Main Fuses__________________Amps. Underground –� Type of Installation— Conduit Tubing ___ B.X.L Metal Moulding (Signed) (Signed) ______ ___ Subdivision_____ Street Notary Public. State of Florida 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 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 - cont:actors, on, work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. es, Before me, the undersigned authority, a notary public, duly authoriz d to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes ..nd says that he is the of the above described construction, that he has carefully read the foregoin'; 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- inspect on 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. I'.10TORS - HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Date Application is hereby made for the approval of the detailed statement of the pans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformit/ 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 Employing Electrician's Name Location and Legal Description Lot_ __:4____ Block_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floo sf ) Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Street -- No. -- Street______- New Building Remodeling Addition Repairs ____ No. of Stories Service Overhead Size Feeders Conduit – Sw._____ __ Amps. Main Fuses__________________Amps. Underground –� Type of Installation— Conduit Tubing ___ B.X.L Metal Moulding (Signed) (Signed) ______ ___ Subdivision_____ Street Notary Public. State of Florida 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 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 - cont:actors, on, work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. es, Before me, the undersigned authority, a notary public, duly authoriz d to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes ..nd says that he is the of the above described construction, that he has carefully read the foregoin'; 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- inspect on is made necessary by improper notice for inspection, or faulty materials and /or workmanship.