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ELECTRICALELECTRICAL INSPECTION DEPALSYMENT APPLICATION FOR ELECTRICAL PERMIT Permit 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 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 / No elf "Yr Street 9 sr. Registered Architect and /or Engineer 7 - Employing Electrician's Name.... e, e e • No 73,0 SA) Street 59 sr gels 's . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) MIAMI SHORES VILLAGE P9 s4. 1 street 9. Date q " 5 Ei.4el+6 New Building Remodeling X Addition...,. Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L Meta! Moulding Amount of Permit $ ° ' (Signed) 2.s-- /. 2 S a s . ,o (Signed) ��-'f Elect ' 1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma t 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. STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. Before me, the unders' ed 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_,77 of the above described construction, and he has carefully the foregoing application, and that he id sign the Y g R pP g same, and that all facts therein by him stated are true. NOTARY P11BlIC STATE OF Fl(3RIDA AT 'ARM' MY eoMMISSION EXpuu'S Oct 10, 1977 4&1'JDEp r1-1 .:GL.M.9? ..tt.'muru.:1<4• 4t My Commission Expires /0- Master Electrician. No Public, State of Florida GI L 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 N O. LAMPS REFRIO. OUTLET IRON O UTLET RANGE OUTLET RANOE CONN. WATER H EATER W. H EAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST V / CHECK E NT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. 7) N �I ©Da c1490,/ S 0.1 HP MOTORS HP TRANS. RADIO TOTAL CONTR. LIST I87 CHECK ELECTRICAL INSPECTION DEPALSYMENT APPLICATION FOR ELECTRICAL PERMIT Permit 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 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 / No elf "Yr Street 9 sr. Registered Architect and /or Engineer 7 - Employing Electrician's Name.... e, e e • No 73,0 SA) Street 59 sr gels 's . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) MIAMI SHORES VILLAGE P9 s4. 1 street 9. Date q " 5 Ei.4el+6 New Building Remodeling X Addition...,. Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L Meta! Moulding Amount of Permit $ ° ' (Signed) 2.s-- /. 2 S a s . ,o (Signed) ��-'f Elect ' 1 Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma t 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. STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. Before me, the unders' ed 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_,77 of the above described construction, and he has carefully the foregoing application, and that he id sign the Y g R pP g same, and that all facts therein by him stated are true. NOTARY P11BlIC STATE OF Fl(3RIDA AT 'ARM' MY eoMMISSION EXpuu'S Oct 10, 1977 4&1'JDEp r1-1 .:GL.M.9? ..tt.'muru.:1<4• 4t My Commission Expires /0- Master Electrician. No Public, State of Florida GI L 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. Permit No APPLICATION FOR ELECTRI Registered Ar ec and En ineer I/�, Employing Electrician's Nam �G/ !9/Y -"/" .'"MNo Location and Legal Description Lot / % G, d a Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) lS_7..l.lt STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SH E RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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. / g < ; Owner's Name and Address.4' f � ,4 ( P' �• ' /' 4:775 No. .3 Street fiG /V s r AL PERMIT � � Date e Street ;f ' 26 ?/// Street/ , a Subdivision4 3V /1 FA- I y?,v 7 sr New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p P Type of Installation— Conduit Tubing B.X.L .Metal Moulding 3 I-0/v c67 jam, C, P /?rte l� -44) 'IC7 .* »7 s7 c›? 2 r .,S 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 '. • such public notice, notices as are required by the Act. The undersigned agrees to employ only such sub-contractor , on to be perforn d under this • It t , . re licensed by Miami Shores Village. `. (Signe , V y•�� 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. ee 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. LIST / , �� p / ®�W CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP N EON TRANS. RADIO TOTAL CONTR. LIST / CHECK V ' Permit No APPLICATION FOR ELECTRI Registered Ar ec and En ineer I/�, Employing Electrician's Nam �G/ !9/Y -"/" .'"MNo Location and Legal Description Lot / % G, d a Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) lS_7..l.lt STATE OF FLORIDA, 1 COUNTY OF DADE. ss. MIAMI SH E RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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. / g < ; Owner's Name and Address.4' f � ,4 ( P' �• ' /' 4:775 No. .3 Street fiG /V s r AL PERMIT � � Date e Street ;f ' 26 ?/// Street/ , a Subdivision4 3V /1 FA- I y?,v 7 sr New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p P Type of Installation— Conduit Tubing B.X.L .Metal Moulding 3 I-0/v c67 jam, C, P /?rte l� -44) 'IC7 .* »7 s7 c›? 2 r .,S 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 '. • such public notice, notices as are required by the Act. The undersigned agrees to employ only such sub-contractor , on to be perforn d under this • It t , . re licensed by Miami Shores Village. `. (Signe , V y•�� 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. ee Permit No 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 made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:lda, 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. APPLICATION FOR ELECTRICAL PERMIT ��. Amount of Permit $ 1 Bs. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT r. �' /e� No.? e ? Registered Architect and /or Engineer / i / ,� j _ Employing Electricians Nam cJ. t Rice f ce...t�." I... C.,... / 1 c.. •.Noif I c Street.. ..! . ' /6 Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No l Street ....id c 4 .. / / State work to be performed and purpose of building (By Floors)..(. . if- . ....I KC rat5 S'aVI/ i t iiri� ioe...e>d1 (4�.... lC New Building Remodeling 1 " - '` - Addition Repairs No. of Stories Service Overhead Size Feeders 'It - ... -.. Conduit l fir Main Sw 0°6 Amps Main Fuses . Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding (Signed) Date Street q ? L .R 2,. ..,x�� (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby eel tify 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 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, n work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 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'8 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP / 1HEATER . �o e D . TOTAL CONTR. LIST 6 1V CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL COSTR. 13% 3, O ' b CHECK 5j'✓_ - c :) Permit No 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 made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:lda, 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. APPLICATION FOR ELECTRICAL PERMIT ��. Amount of Permit $ 1 Bs. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT r. �' /e� No.? e ? Registered Architect and /or Engineer / i / ,� j _ Employing Electricians Nam cJ. t Rice f ce...t�." I... C.,... / 1 c.. •.Noif I c Street.. ..! . ' /6 Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No l Street ....id c 4 .. / / State work to be performed and purpose of building (By Floors)..(. . if- . ....I KC rat5 S'aVI/ i t iiri� ioe...e>d1 (4�.... lC New Building Remodeling 1 " - '` - Addition Repairs No. of Stories Service Overhead Size Feeders 'It - ... -.. Conduit l fir Main Sw 0°6 Amps Main Fuses . Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding (Signed) Date Street q ? L .R 2,. ..,x�� (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby eel tify 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 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, n work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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 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 PLUMBING Owner of Building Legal Lot Description 1' PERMIT N9 2451 Work to be performed under this Permit s {_. Architect Contractor or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194, Bl. Subdi- vision Contractor's License No. Address of Value of Amt. of Building Project 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 • ^ -' ,.x' , r 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 regula- ions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores tillage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY Permit 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 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 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name do _ i ' No Street_ Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No Street /7 State work to be performed and purpose of building (By Floors) _ —__' The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires (Signed)' No Street 1 (Signed) New Building _ Remodeling Addition Repairs Notary Public. State of Florida r 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 _ -� - Electrical In hector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. 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, 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. IST IST LIST C V V / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK Permit 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 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 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Registered Architect and /or Engineer Employing Electrician's Name do _ i ' No Street_ Location and Legal Description Lot Block Subdivision_ Street and Number where work is to be performed —No Street /7 State work to be performed and purpose of building (By Floors) _ —__' The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires (Signed)' No Street 1 (Signed) New Building _ Remodeling Addition Repairs Notary Public. State of Florida r 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 _ -� - Electrical In hector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. 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, 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. BUILDING PLUMBING • • ELECTRICAL • • • • The following is ready for Inspection: Inspector's Report: WORK • DONE BY: /, REQUESTED / % ; tf • • • • : WILL BE READY Permit 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 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 e Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT d i The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. ES. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No. • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition (Signed) Date Street__ No. - Street_f Location and Legal Description Lot Block Subdivision ______________________ Number Street and - - f Overhead Underground 1 �+ Service Size Feeders f Conduit I Main Sw Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida Repairs No. of Stories Main Fuses Amps. (Signed ,e: j r , Ele In pe�f c tor . rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. 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, 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 FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST y r/ tx b ! CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK Permit 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 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 e Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT d i The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. ES. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No. • State work to be performed and purpose of building (By Floors) New Building Remodeling Addition (Signed) Date Street__ No. - Street_f Location and Legal Description Lot Block Subdivision ______________________ Number Street and - - f Overhead Underground 1 �+ Service Size Feeders f Conduit I Main Sw Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida Repairs No. of Stories Main Fuses Amps. (Signed ,e: j r , Ele In pe�f c tor . rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are Master Electrican. 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, 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.