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ELECTRICALBUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder - • MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5249 Work to be performed under this Permit DATE Contractor's License No. Legal ' Lot Bl. Subdi- Description vision : y Address of i /../1 2,7 ,, /.;:f. Project Building / ,,...) ,. , .-, 1-.. Value of Amt. of Bu i Permit ? '1 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device des'cribed in the appli- cation 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 dim; 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 1isponsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or.thesisfings-orAn the statements or specifications and that he respon- sibility for work done by his agents, servants or employees. pe. Signed By .... 0 • \ -, *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 accepting ermit I assume responsibility for all work done by either myself, my agent, servant or employee. f / 014 { 444 ONTRACT OR BlUIL65. BY AUTHORITY N 1 f 1941.7 Permit No. ry.-r Owner's Name and Address___—__„, Amount of Permit $__,___! STATE OF FLORIDA, l COUNTY OF DADE. 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 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. No. Registered Architect and /or Engineer__ _________ '' - . • / f Employing Electrician's Name___ _„ _ ...__�___ ___._ No i Street—__—__.,... _ Location and Legal Description Lot__________— _— ___— ______— Block Subdivision________.._. Street and Number where work is to be performed--No—___Z___ __Street___' -___ y___f ;L _:_ (Signed) Date - -2 /2- — Street__ -� - --- .— �__ - -- State work to be performed and purpose of building (By Floors)____.r_'___ "_ ; New Building___ ______ ____________Remodeling _ Addition_____ Repairs No. of Stories Service Overhead Size Feeders Conduit_ _Main Sw. —____ Amps Underground Main Fuses___________ — ____Amps Type of Installation— Conduit_______________Tubipg __B.X.L.__.___ Metal Moulding_ _ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that nderstands and accepts his o15 ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com ed 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 sub - contractors, 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 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 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 LIST CHECK ENT. $W. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. ry.-r Owner's Name and Address___—__„, Amount of Permit $__,___! STATE OF FLORIDA, l COUNTY OF DADE. 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 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. No. Registered Architect and /or Engineer__ _________ '' - . • / f Employing Electrician's Name___ _„ _ ...__�___ ___._ No i Street—__—__.,... _ Location and Legal Description Lot__________— _— ___— ______— Block Subdivision________.._. Street and Number where work is to be performed--No—___Z___ __Street___' -___ y___f ;L _:_ (Signed) Date - -2 /2- — Street__ -� - --- .— �__ - -- State work to be performed and purpose of building (By Floors)____.r_'___ "_ ; New Building___ ______ ____________Remodeling _ Addition_____ Repairs No. of Stories Service Overhead Size Feeders Conduit_ _Main Sw. —____ Amps Underground Main Fuses___________ — ____Amps Type of Installation— Conduit_______________Tubipg __B.X.L.__.___ Metal Moulding_ _ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that nderstands and accepts his o15 ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com ed 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 sub - contractors, 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 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.