715 NE 93 St (12)Permit No . (//
Owner's Name and Address
Amount of Permit $
licensed by Miami Shores Village. 7 g
STATE OF FLORIDA,
COUNTY OF DADE. } ss. c t�
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby $jade for the approval of the detailed statement of the plans and specifications he ith 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.
J
My Commission Expires
� + a
�� R./� No Street
Registered Architect and /or Engineer
Employing Electrician's Name 514.L. C / No._d 6 '4 if Street
Location and Legal Description Lot 'Z / ` .e S Block 6- Subdivision - _ <' .
Street and Number where work is to be performed —No r / 5 Street /V s l e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Servi O tt eargreemd Size Feeders ` Conduit �� Main Sw Amps
Type of Installation— Conduit ..Tubing B.X.L Metal Moulding
(Signed)
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 Ac.:, 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 work to be performed under this permit, as are
(Signed)
Date
Notary Public, State of Florida
Main Fuses / 6 e; Amps
Electrical Inspector.
Master Electrician.
Before me, the undersigned autbfaity,' 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 careft.11y read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
OTE: 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
REFC'IO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
M _a
STRIP
HEATER
TOTAL
C L
LIST
6
v.
/ V
I
1
1
1
1
CHECK
1 (or
7
/ F-O
`'
lV
�~ " --
, >) ��
� �
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.! HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
!/
lee
1,
� /�,k'�
/eo �,�
C�'
CHECK
! ;
_ )_)
Permit No . (//
Owner's Name and Address
Amount of Permit $
licensed by Miami Shores Village. 7 g
STATE OF FLORIDA,
COUNTY OF DADE. } ss. c t�
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby $jade for the approval of the detailed statement of the plans and specifications he ith 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.
J
My Commission Expires
� + a
�� R./� No Street
Registered Architect and /or Engineer
Employing Electrician's Name 514.L. C / No._d 6 '4 if Street
Location and Legal Description Lot 'Z / ` .e S Block 6- Subdivision - _ <' .
Street and Number where work is to be performed —No r / 5 Street /V s l e
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Servi O tt eargreemd Size Feeders ` Conduit �� Main Sw Amps
Type of Installation— Conduit ..Tubing B.X.L Metal Moulding
(Signed)
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 Ac.:, 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 work to be performed under this permit, as are
(Signed)
Date
Notary Public, State of Florida
Main Fuses / 6 e; Amps
Electrical Inspector.
Master Electrician.
Before me, the undersigned autbfaity,' 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 careft.11y read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
OTE: 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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLGCATION FOR ELECTRICAL PERMIT
Permit No / Date `).�
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 �:'- �/ .. S No Street
Registered Architect and /or Eng
Employing Electrician's Name
STATE OF FLORIDA, 1
COUNTY OF DADE Jt
Ss.
No v�‘ '
Location and Legal Description Lot c?�.. ..... Block
v
Amount of Permit $ 1 (Signed)
Street and Number where work is to be performed —No /AD A/ _... Street
Street
Subdivision
State work to be performed and purpose of building (By Floors)
New Building 1/ Remodeling Addition Repairs No. of Stories 1
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation-- C'Jonduit Tubing B.X.L Metal Moulding
0 `3
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and lacEepts 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, as are
licensed by Miami Shores Village.
(Signed)
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.
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 an /or manship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REF.110.
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.
/
!
MOTORS
0.1 HP
OTORS
•S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLGCATION FOR ELECTRICAL PERMIT
Permit No / Date `).�
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 �:'- �/ .. S No Street
Registered Architect and /or Eng
Employing Electrician's Name
STATE OF FLORIDA, 1
COUNTY OF DADE Jt
Ss.
No v�‘ '
Location and Legal Description Lot c?�.. ..... Block
v
Amount of Permit $ 1 (Signed)
Street and Number where work is to be performed —No /AD A/ _... Street
Street
Subdivision
State work to be performed and purpose of building (By Floors)
New Building 1/ Remodeling Addition Repairs No. of Stories 1
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation-- C'Jonduit Tubing B.X.L Metal Moulding
0 `3
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and lacEepts 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, as are
licensed by Miami Shores Village.
(Signed)
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.
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 an /or manship.
��`
BUILDING
ELECTRICAL
PLUMBING
ROOFING
_ MIAMI SHORES VILLAGE. FLORIDA
L0 -
❑ DATE 195 r'
❑ PERMIT N? 7115 Contractor's
License No.
❑ Wcrk to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description I Bl
Address of
Building
CONTRACTOR OR BUILDER
Subdi-
vision
Value of 11 Amount of
Project $ 11 Permit $
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 application
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 responsibility for work
done by his agents, servants or employees.
Signed BY:
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
8 r:r
s
STATE OF FLORIDA, }
COUNTY OF DADE.
New Building Remodeling -
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby made for the approval of tl•e detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is mad.: in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Floric a, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, ''hether 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 No Street
Registered Architect and /or Engineer
.Employing Electrician's Name No 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)
Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit 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 Ac:, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will r‘ quire 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notar; public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly swi irn, upon oath deposes and says that he is the
of the above described construction, and he has carefuly 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 math 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
REI'RIG.
OUrLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
1 r
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -E HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
s
STATE OF FLORIDA, }
COUNTY OF DADE.
New Building Remodeling -
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
Application is hereby made for the approval of tl•e detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is mad.: in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Floric a, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, ''hether 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 No Street
Registered Architect and /or Engineer
.Employing Electrician's Name No 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)
Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit 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 Ac:, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will r‘ quire 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
Before me, the undersigned authority, a notar; public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly swi irn, upon oath deposes and says that he is the
of the above described construction, and he has carefuly 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 math when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT �/
Permit No f �A Date. ! ' 2 7 /< L
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is mach 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 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.
a UW i 9
Owner's Name and Address..4441 Ad
J 4.e 4 "v36U No7 /5// l - Strt
Registered Architect and /or Engineer 9/ 1►'
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. I `°'
Employing Ele5rieff7 N gle.lfi ��yyl '..,o0 No. ,/.4.2 A 7�
Location and Legal Description Lot..sr.� � 1� Block � t. (.I43
Street and Number where work is to be performed —No 7i` /Vg
State work to be performed and purpose of building (By Floors)
(Signed)'
3
(Signed) ,l )
A E
- Street
Street
A a k"
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Am Main Fuses Amps
Underground p
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands a(d accepts his obligations u 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 work to be performed under this permit, as are
licensed by Miami Shores Village.
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.
My Commisaion Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LICHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO. LAMPS
REr1110.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN:
WATER
HEATER
W. MCAT.
CONN.
SPACE
HEATER
STRIP
HEATER
/a?ASTe
TOTAL
CONTR.
LIST
��/
C.
CHECK
ENT.
SW.
DIST.
CAS.
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 f �A Date. ! ' 2 7 /< L
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is mach 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 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.
a UW i 9
Owner's Name and Address..4441 Ad
J 4.e 4 "v36U No7 /5// l - Strt
Registered Architect and /or Engineer 9/ 1►'
Amount of Permit
STATE OF FLORIDA,
COUNTY OF DADE. I `°'
Employing Ele5rieff7 N gle.lfi ��yyl '..,o0 No. ,/.4.2 A 7�
Location and Legal Description Lot..sr.� � 1� Block � t. (.I43
Street and Number where work is to be performed —No 7i` /Vg
State work to be performed and purpose of building (By Floors)
(Signed)'
3
(Signed) ,l )
A E
- Street
Street
A a k"
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Am Main Fuses Amps
Underground p
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands a(d accepts his obligations u 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 work to be performed under this permit, as are
licensed by Miami Shores Village.
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.
My Commisaion Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 81.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
141A M I SHORES VILLAGE, FLA.
JOB
ADDRESS
INSPECTION / A
TIME READY •
REMARKS: / - • ;
„--
/
INSPECTOR DATE ( I"
N? 7596
CEILING
BRACKETS
RECEPTACLES
SWITCHES
STOVES
WATER HEATERS
SIGNS
CEILING
OTHER APPARATUS
MAIN
SUBS
p
:77—
!r
h
o ff
BASEMENT
FIRST
m ^
,,,,t.
,� c � � ° ^ m
FLOORS
FIXTURES ONLY
NUMBER OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
NO.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
p
:77—
!r
h
BRANCHES
o
fi ' �
BASEMENT
FIRST
;..1,-16,
0
S ,
SECOND
THIRD
FOURTH
--
— --
ELECTRICAL DEPARTMENT OF THE CITY OF I'O NIRON-I
/ 5//Y
Desiring your certificate of Approval, application is hereby made for an inspection of the electric installa-
tion 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 R;= TURNED.
LOT NUMBER BLOCK NUMBER SUBDIVISION
F �j -P
STREET AND N /
UMBER '' �/ /0 A.-Po Z l _ SIDE
OWNER / ^ / �
ODCUPANT
OCCUPIED AS
BUILDING -NEW OR OLD (UNDERLINE WHICH)
H. P. OF EACH MOTOR D 'j , OL TOTAL AMPS
PHASE
KIND OF INSTALLATION
REMARKS
MAST ELECTRICIAN 4!' 1\l
/
BY\"�'�m /.�r.�.'` 1
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL NO
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
OPEN OR CCNCEALED
APPLICATION
SPECIFICATIONS
WORK ADDITIONAL. NEW. ALTERATION OR REPAIR
INSPECTION WANTED �'/
ADDRESS O ^ i t F� /N r�
SPACE BELOW FOR INS.'ECTOR'S USE ONLY
NO
A d DATE ��� 19 >�0!
1
KNOB. RX., BX., MLDG.. CONDUIT. METALLIC TUBING
l-
INSPECTED
REMARKS
FEE REMITTED
INSPECTOR
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
❑
DATE 195
195
D PERMIT N° 4246 Contractor's
❑ - License No. 2 Y
0
Work to be performed under this Permit
Owner of
Building
Bl.
S ibdi-
- rision
Value of Amount of
Project $ j I Permit $
f
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 application
herefor in strict compliance with all ordinances pertaining thereto and with the und: rstanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approve:, 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 clanged 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 cr ir the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. r
Signed.
'
INI;PECTOR
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 spe: ifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for a:1 work done by either, myself, my c gent, servant or employee.
BY AUTHORITY 6 p .