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ELECTRICAL• Permit No. ...� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewidh 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 specjjications must be kept at building during progress of work. t 77 Name and Address 7 .1/ ' 3 No No Street STATE OF FLORIDA, 1 COUNTY OF DADE. It s5. (Signed). Registered Architect and/or p......ae – 1 Employing Electrician's Name..../ .- ..:!... . .....,-'.-.e::r.--..1L,.... ....No./2C C Date Street � Location and Legal Description Lot .0 Block ?division Street and Number where work is to be performed —No 9' 7 7.ef State work to be performed and purpose of building (By Floors) (r t New Building Remodeling Addition....._ Repairs No. of Stories Overhead S ' ' Service Underground Size Feeders ers Co n d u1t Main S w Amps s Main Fuses 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 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 sub-contractors, on work to be performe 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 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 O UTLETS PLUG R ECE'P'T'S FIXTURES N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 P MOTORS 1.5 HP N EON TRANS. RADIO TOTAL —y-�� I 111 . �—' =— CONTR. LIST � + V CHECK .. 1 . � • Permit No. ...� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewidh 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 specjjications must be kept at building during progress of work. t 77 Name and Address 7 .1/ ' 3 No No Street STATE OF FLORIDA, 1 COUNTY OF DADE. It s5. (Signed). Registered Architect and/or p......ae – 1 Employing Electrician's Name..../ .- ..:!... . .....,-'.-.e::r.--..1L,.... ....No./2C C Date Street � Location and Legal Description Lot .0 Block ?division Street and Number where work is to be performed —No 9' 7 7.ef State work to be performed and purpose of building (By Floors) (r t New Building Remodeling Addition....._ Repairs No. of Stories Overhead S ' ' Service Underground Size Feeders ers Co n d u1t Main S w Amps s Main Fuses 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 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 sub-contractors, on work to be performe 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 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. Mr. Dan Hansell Village Hall 10050 N. E. 2nd Avenue Miami, Florida Dear Mr. Hansell C O R P •O R A T 1 0 N The quietness of the York Model 552 air conditioner can better be brought out by observing its operation. However, I can assure you that it will have a very low noise level both from it's design and its location in Mr. Vetter's garage, which will not be objectionable to Mr. Vetter's neighbors. Thanking you for your cooperation. July 31, 1952 Re: Mr. E. J.Vetter 977 N.E. 93rd Street Miami, Florida L. Stoll LS:DP Chief Engineer 1221 -1225 S. W. EIGHTH STREET MIAMI 35, FLORIDA PHONE 82 -1411 Sincerely yours, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 6 1 # 77 . G • `1,-3 Tax Folio /(^32010 O � Legal Description Mq.TCAL 4 ��� �'l..;ns 5u,6 (q L W i 9 . 1 Owner / Lessee / Tenant Master Permit # Owner's Address Q7 n. . ' 3 Phone s /,j — c 26,�n -- Contracting Co. r / /. _ - - - . -- '-!L�4 Address t! •�.p w� , Qualifier ille - iA -% - . ' / SS# - Phone 91.. a:R/. 3,c C,L State #t 000c C iunicipal # Competency # Ins .Co. Architect /Engineer \ Address \ \ Bonding Company Mortgagor \ Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIONLQa 1 - 05- Square Ft. Estimated Cost(value) j 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. Signature of owner and /or Condo President Date: 0 Notary as to Owner and /or tondo President My Commission Expires: ** * * * * * * (jlr * * * * * * * * ** N FEES: PERMIT r RADON C.C.F. I NOTARY TOTAL DUE 61 1•V 5 APPROVED: Fire Other Zoning Mechanical Plumbing_ Address \ \ Building Electrical Signature of Contractor or Owner- Builder Date' • /°C4)1- Notary as to Contractor or Owner- Builder My Commission Expires: Engineering Date Legal Owner a P-ERKIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Job Address g" ! i Tax Fol 03„24fr 435- L Owner's Address Contracting C Qualifier State# / ' DO D1D L13Competency# Architect /Engineer \ Bonding Company Mortgagor Permit Type: ROOFING WORK DESCRIPTION Square Ft. Description ?Y ? � q� ■ OM Ad BUILDING ELECTRICAL Si: ture of NOTARY to Owner /Condo President (Print, T Personally FEE Aa e' � v r . F'rl.I ra. - /RAL or amuli . 9P 4g d * i . i * COMMISSION NUMBER x ea4 d6I.D. ❑ Nis MY COMMISSION EXP OFF'. MAR. 1 1'98 Type of I.). F ,.1u..ed Zoning Mechanical Name) Building Plumbing Tenant Master Permit # Q 'M .3 -3(37 Day -Time Phone 15 . Address J C_• A16_% , .A.> SS4# - Address Address Address PLUMBING Ins. C MECHANICAL Application is hereby made for a permit to do work & installation as indicated. I understand that separate permits are required for Electrical, Plumbing, Signs, Pools, Roofing, & Mechanical work. ,Estimated Cost Phone `7 4`'S PAVING FENCE IGN WARNING TO OWNER: YOU MUST RECORD A AOTICE 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 THE NOTICE. A BACKFLOW PREVENTION DEVICE PERMIT AND CERTIFICATION TEST MAY BE REQUIRED IN ACCORDANCE WITH ORDINANCE #825. CALL THE PUBLIC WORKS DEPT. AT 787 -1001 OR VISIT THEIR OFFICE AT 1815 N.E. 150 ST. 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. Signature of Property Owner or Condo Pres. Signature o Co ' ractor ADMINISTERED OATH ❑ ADMINISTERED OATH ❑ SWOk2N TO & SUBBED B ORE ME THIS SW RN TO & S RIBED BEFORE ME THIS c / DAY OF , 199. DAY OF , 19 T ' Signature of NOTARY (Print, TyF Personally Type of I.D. produced Contractor A AmwArkm r y a OF Fl° vll'. 1. -OmpsftMtalttimisd COMM Q F&Of1r98%N� °0 1urP(>; MAR. 11998 Electrical ame) Engineering Permit No. OTIC OF COMMENCEMENT Tax Folio No. /' ?D� '� N I _� State of Florida County of The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property (Include Street Address, if available ql 21. F q3 General description of Improvements • Owner )')/) Address ( � �� C / . _33/.3 �/4 Owner's Interest In site of the improvement Fee Simple Title holder (if other than owner) Name /17 Address Contractor Address /(& � x Surety /1//4 Address Amount of bond $ Any person making a loan for the constructiorf the improvements: Name /u /i9 Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name THIS SPACE FOR RECORDER'S USE ONLY } Address in addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date 1 year from the date of recording unless a different date is specified). Signature of Owner G -fl' K / - ' Printed Signature of Owner Sworn to and subscribed before me this l ' day of , SEMINOLE FORM 408 FS 713.13 l c .\ PR Pua: OFF181TL SEAL B ELECTRM PLUMBRO ROOFING Owner of Building • In pertaining In accep B MIAMI SHORES VILLAGE, FLORIDA DATP D , PERMIT ? 11849 D Work to be performed uncle Architect Contractor or Builder Legal Desc iiption II Addy ss of Building Thie herefor in drawings, statements or specifications that may have been submitted to and approved by the p time if the work is not done in compliance with such ordinances or if the plans are changed with granted is the understanding that the contractor or builder named above assumes the responsibil pertaining to *e work covered hereby whether shown on the plans or drawings or in the etatemen done by leis agents, servants or .employees: his Permit Value of Project $ ► the contractor or builder named above to construct the building or to in ance with all ordinances' pertaining thereto and with the understanding that th BY Contractor's License No ent or device described-in the application performed in compliance with any plane, orities. This Permit may be revoked at any A further condition upon which this permit is h knowledge of the ordinances an t ltalons Lions and that he assumes responeib r work Sig INSPECTOR the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances " " `lotions trice conformity with the plane, drawiings, statements or specifications submitted to the proper authorities of Miami Shore. Village. assume responsibility fork all work done by either, myself, my agent, servant or mployee. w s BUILDING ❑ ELECTRICAL PERMIT +l.V`? ' 12283 PLUMBING ❑ ROOFING ❑ Wgrk to be performed under this Perini Owner of Building Architect Contractor or Builder. Description. Address of Building In co pertaining In acceptin Lot CONTRACT' -' OR BUILD MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project This permit ". _ranted to the contractor or build anlcd above to struct the herefor in strict co a , nce with all ordinances pertai thereto and w the and drawings, statements or specifications that may have been submitted to and approved time if the work is not done in compliance with such ordinances or if the plans are cha granted is the understanding that the contractor or builder named above assumes the pertaining to the work covered hereby whether shown on the plans or drawings or in done by his agents, servants or employees. BY DAT Contractor's License No building or to install the equipment or device described in the applicatio ndin t the work will be performed in compliance with any plans, unicipal authorities. This Permit may be revoked at any orization. A further condition upon which this permit is a thorough knowledge of the ordinances and regulations sumes res r. • neibility fo, work Amt, of Permit 195 SPECTO ation of the issuance to me of this permit I agrees, a work covered hereunder in compliance with all and in strict conformity with the plans, drawings, statements or specifications submitted to the proper thorities o permit I assumr, responsibility for all work done by either, myself, fny agent, servant or employee. AUTHORITY nances and re atione Miami Shores illage. MIAMI SHORES VILLAGE, FLORIDA DATE... 195 PERMIT ice° 13481 Contractor's License No. B ELECTRICAL _. PLIWIBR4G ❑ ROOFING( Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ Work to be performed uncle 7 CONTRACTOR OR BUILDER 11 Di ' 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 rev4*ed at any time if the work is not done in compliance with such ordinances or if the plans ate changed without authorization. A further condition upon which this permit' is granted is the understanding that the contractor or builder named above assume the responsibility for a thorough knowledge of the ordinances an ulations pertaining to the work covered hereby whether shown on the plans or drawings or ; . statements or specifications and that he assumes responsibility work done by his agents, servants or employees. Sign this Permit CTOR In consideration of the issuance to me of this permit I agree to h orm 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 accepting this permit I assume responsibility for all work done by either, myself , my agent, servant or employee. Subdi- vision Value of Project $ 1 1 Amt. of Permit $ BY AUTHORITY Op BY kl"> MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION 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 oI other structure 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 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 �S n 1, r,cti eII G� R Owner's Name and Address � til 1 'at N � I No I � 7 �� � " Street 93 Sr Registered Architect and /or Engineer Employing Electrician's Name ..L)AC( tN I-1 ar r I.Lc:rhoN's No... .4 at). W Street 3 . 1 ' S r Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No S ? 7 °J t 43 "S -r- Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding 6 Amount of Permit $ (Signed) Repairs No. of Stories 44 0 0 7 CI~ 9' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, ind 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. STATE OF FLORIDA, COUNTY OF DADE. f 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 LION" OUTLETS PLUG RECE'•'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS MI HP NEON TRANS. e ,/� Vr / N4 RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION 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 oI other structure 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 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 �S n 1, r,cti eII G� R Owner's Name and Address � til 1 'at N � I No I � 7 �� � " Street 93 Sr Registered Architect and /or Engineer Employing Electrician's Name ..L)AC( tN I-1 ar r I.Lc:rhoN's No... .4 at). W Street 3 . 1 ' S r Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No S ? 7 °J t 43 "S -r- Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding 6 Amount of Permit $ (Signed) Repairs No. of Stories 44 0 0 7 CI~ 9' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, ind 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. STATE OF FLORIDA, COUNTY OF DADE. f 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. r APPLICATION FOR ELECTRICAL PERMIT Permit No / a ---J 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 ( a �� No Street__ Registered Architect and /or Engineer Employing Electrician's Name __X__ d r C 4�AiN-E_Z No Location and Legal Description Lot 4 Street and Number where work is to be performed —No �� _ _ S et Overhead d f Installation— Conduit Tubing__. B.X.L / 5 Size Feeders# _L____ Conduit "_ Main Sw My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block ________ _____________________ _____ Street Remodeling Addition Repairs State work to be performed and purpose of building (By Floors) ___.�!j_`_L�ic -! L [[ —iNew Building Date_ 92 th _' Street - - --- -- —' -- Notary Public. State of Florida No. of Stories Amps. Main Fuses____ Amps. trical Ins ctor. undersigned applicant for this building permit does hereby certify that he • nderstands and accepts his obligations as an emplo er of labor e Florida Workmen's Compensation Act, being Section 5966, Compile • eneral Laws of Florida Permanent Supplement, a has com- pl ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be pert rmed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices req ired by the Act. The under signed agrees to employ only such sub - contractors, oy1►ork to be performed u licensed by Miami Shores Village. er this permit, as as Master Electrican. are are STATE OF FLORIDA, k COUNTY OF DADE. as. 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 of the above described construction, that 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'S FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIFT !� q ET 7 ,+•„ q r• /"q /Li-�` } 1 0 0 ` __L._ 1 K 1 +-�` • 51 HECK 700/6 ENT. SW. DIST. CAB. SERVICE TEMP. SER PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL I 1 t pd r APPLICATION FOR ELECTRICAL PERMIT Permit No / a ---J 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 ( a �� No Street__ Registered Architect and /or Engineer Employing Electrician's Name __X__ d r C 4�AiN-E_Z No Location and Legal Description Lot 4 Street and Number where work is to be performed —No �� _ _ S et Overhead d f Installation— Conduit Tubing__. B.X.L / 5 Size Feeders# _L____ Conduit "_ Main Sw My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Block ________ _____________________ _____ Street Remodeling Addition Repairs State work to be performed and purpose of building (By Floors) ___.�!j_`_L�ic -! L [[ —iNew Building Date_ 92 th _' Street - - --- -- —' -- Notary Public. State of Florida No. of Stories Amps. Main Fuses____ Amps. trical Ins ctor. undersigned applicant for this building permit does hereby certify that he • nderstands and accepts his obligations as an emplo er of labor e Florida Workmen's Compensation Act, being Section 5966, Compile • eneral Laws of Florida Permanent Supplement, a has com- pl ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be pert rmed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices req ired by the Act. The under signed agrees to employ only such sub - contractors, oy1►ork to be performed u licensed by Miami Shores Village. er this permit, as as Master Electrican. are are STATE OF FLORIDA, k COUNTY OF DADE. as. 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 of the above described construction, that 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.