ELECTRICALOutlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Bu
Contractor or Electrician
NO.
STREET
aiami Aores9411age
F L 0 ft 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , 19 h %
LO CATION
PART OF LOT
NUMBER OF
LOT
BL'K
DESCRIPTION OF WORK
SUBDIVISION
N? 572
•
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change .ln the plans and specifications unauthorized by
this Department.
, Electrical Inspec or.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village.
Dated c C , 19
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
Other Apparatus
Permit Fee
/
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
/
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department.
/F , Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
hate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
hores Village.
Dated
, 19
k1iami Jliores9' llage
F 1. O R 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla 19
LO CATI 0 N
DESCRIPTION OF WORK
NUMBER OF
N9 572
(Seal)
OUTLETS
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H'TERS
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
SUB
BRANCH
Basement
First
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
Second
Third
Fourth
Other
Floors
fad
aiami cJhores
F L O R 1 D A
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installation:
Date 193
Owner - /" _ Address
Building Contractor
Electrical Contractor
Location of proposed work: Lot / L' • Block Subdivision
Volts
Details of proposed work:
Number of Motors H P
di
Building: Old or new Number of stories Used as
Description of proposed work
Amps
(SPACE BELOW FOR INSPECTOR'S USE ONA.Y)
r
Phase
Additional Information
Signature of Applicant ::•-
Address (if other than owner or contractor)
Work begun j Inspected
Work finished Final inspection
, Inspector