ELECTRICALBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
PERMIT N? 14340
Work to pprforsppd,under this Permit —
, i2/,)
I t 3t2 "t ` c) f u
BL
MIAMI SHORES VILLAGE, FLORIDA
Lot
CONTRACTOR OR BUILDER
Subdi-
vision
Address of" i y .•Y "`..� Value of
Building ( iw Project $
BY
DATE
Amt. of
Permit
Contractor's
License No
401111.4.
This permit is granted to the contractor or buildfr named above to fonstruct 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 ap `oveci 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 re chang without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named abov assn s the r onsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or olf e statemet�t,9�I MId that e ayumes responsibility for work
done by his agents, servants or employees.
INSPECTOR
In consideration of the issuance to me of this permits ee to rn erform the work covered hereunde compliance wit all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, ements or specifications submitted to the proper auth. "ties of Miami Shores Village.
In accepting gh s permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
l
AUTHORITY
ELECTRICAL. INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ( ' Date :7 ''--(-
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.!.Pf..J t/ Street 77 - 9 , 5 - Ir
u
Amount of Permit $
Registered Architect and /or Enk' ee
Employing Electrician's Name ?- L X' r No Street
Location and Legal Description Lot 7 Block Subdivision ,
Street and Number where work is to be performed—No.. .. / � '1...C ' { ./Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
STATE OF FLORIDA,
COUNTY OF DADE. j as.
r o
MIAMI SHORES VILLAGE
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) 'G.•i. .x... .'
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
N O. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
ACE
H ATER
STRIP
H EATER
TOTAL
CONTR.
LIST
G9
CHECK
•
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
'
CHECK
ELECTRICAL. INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ( ' Date :7 ''--(-
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.!.Pf..J t/ Street 77 - 9 , 5 - Ir
u
Amount of Permit $
Registered Architect and /or Enk' ee
Employing Electrician's Name ?- L X' r No Street
Location and Legal Description Lot 7 Block Subdivision ,
Street and Number where work is to be performed—No.. .. / � '1...C ' { ./Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
STATE OF FLORIDA,
COUNTY OF DADE. j as.
r o
MIAMI SHORES VILLAGE
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) 'G.•i. .x... .'
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.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made
structure herein described.
and all provisions of the L
of Miami Shores Village shall be complied with, whether herein specified
building during progress of work.
Date —2 .
j
the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
s application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
s of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
or not. A copy of approved plans and specifications must be kept at
SS.
Owner's Name and Address
.1 ;
Registered Architect and /or Engi�e a/
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work
State work to be performed and
New Building
My Commission Expires
L
r\ArNA.
No
Block
'1 ;
is to be performed —No E,?
No Street
Subdivision
Street 9..
purpose of building (By Floors)
Remodeling 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 Mgplding
/
The undersigned a licant for t r
g 1� r�°be+ ;Ir� permit does hereby certify that he un�3u
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled
has complied with the provisions thereof, and will require similar compliance fr m all
work to be performed under this permit; and will post or cause to be posted for nspe
as are required by the Act. The undersigned agrees to employ only such sub•con Factors,
licensed by Miami Shores Village.
(Signed)
Street
ectricai ilnsp ctor.
rands and accepts his obi' ations as an employ of
neral Laws of Florida ermanent Suppleme . ', and
contractors or sub•contr 'ors employed by h• 1 in the
on on the site of the work such public notice or notices
on work to be performed under this permit, as are
ti
Notary Public, State of Florida
/t
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.
NOTE: A reins ection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or rkmanship.
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.
LIST
- -~
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. 1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made
structure herein described.
and all provisions of the L
of Miami Shores Village shall be complied with, whether herein specified
building during progress of work.
Date —2 .
j
the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
s application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
s of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
or not. A copy of approved plans and specifications must be kept at
SS.
Owner's Name and Address
.1 ;
Registered Architect and /or Engi�e a/
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work
State work to be performed and
New Building
My Commission Expires
L
r\ArNA.
No
Block
'1 ;
is to be performed —No E,?
No Street
Subdivision
Street 9..
purpose of building (By Floors)
Remodeling 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 Mgplding
/
The undersigned a licant for t r
g 1� r�°be+ ;Ir� permit does hereby certify that he un�3u
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled
has complied with the provisions thereof, and will require similar compliance fr m all
work to be performed under this permit; and will post or cause to be posted for nspe
as are required by the Act. The undersigned agrees to employ only such sub•con Factors,
licensed by Miami Shores Village.
(Signed)
Street
ectricai ilnsp ctor.
rands and accepts his obi' ations as an employ of
neral Laws of Florida ermanent Suppleme . ', and
contractors or sub•contr 'ors employed by h• 1 in the
on on the site of the work such public notice or notices
on work to be performed under this permit, as are
ti
Notary Public, State of Florida
/t
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.
NOTE: A reins ection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or rkmanship.
� /�
�s.:f /�
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
R
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OU
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL.
V y
)
/� TLET
��=
CHECK
i1�r
-2
n
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
7,7 and Legal Description Lot / ( 0
Permit No
Application is hereby in de 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.
Je
Owner's Name and Address 'L....
STATE OF FLORIDA,
COUNTY OF DADE. ss'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
No Street
Registered Architect and /or En zeer
i
Employing Electrician's Name.......iq. � C.- ,''tR�,''� No Street
Block c ..� Subdivision
/ 7 Street and Number where work is to be performed—No Street �� ? 3 �
f
State work to be performed and purpose of building (By Floors)
'
New Building Remodeling Addition Repairs No. of Stories
service._ ei n ground Size Feeders `Y 1 Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing/ B.X.L Metal Moulding
i�� ;.
'? j
i/+ A moun
t ;Permit $ ' ( Signed) �> _. � c
,a -/ Electri; nspector.
Tlje" undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o
labor un'Cer the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, an
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in th
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) d"
f
r
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 workmanship.
ELECTRICAL INSPECTION DEPANTMENT
APPLICATION FOR ELECTRV AL PERMIT
Permit No F� 2
STATE OF FLORIDA, t
COUNTY OF DADE. f ss.
MIAMI SHARES VILLAGE
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. ... ile.../e
Registered Architect and /or Engineer f S p
Employing Electrician's Name.. . /,l ,rri.t.... /i /Ze S ` 4.c.c . ,1�'.3�F..(No.. /a. � . / /.4/V.r.Z ±� e beet
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No .... /2,30 ... -/ .e Street 0 t--'
State work to be performed and purpose of buildi oors).... r 5-� .d..r..C..e m2 Ape A t ,Az
New Building Remodeling Addition Repairs No. of Stories
Overhead 2 � Main Sw °� Amps - Main Fuses 2 X00 Amps
Service Size Feeders -. � Conduit u giiiimvd
Type of Installation— Conduit Tubing r B.X.L .Metal Moulding
(Si
Date //'
� /' 7
•
x..7 (Signed) 6 -.. A t i
Amount of Permit $
/ Electrical In pector.
The undersigned applicant for this building permit does hereby certify that he understands and accepthis 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 subcontractors, o 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'TS
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.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
LIST
6 r1_ _ _.�
�
•-�•�-
CHECK
ELECTRICAL INSPECTION DEPANTMENT
APPLICATION FOR ELECTRV AL PERMIT
Permit No F� 2
STATE OF FLORIDA, t
COUNTY OF DADE. f ss.
MIAMI SHARES VILLAGE
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. ... ile.../e
Registered Architect and /or Engineer f S p
Employing Electrician's Name.. . /,l ,rri.t.... /i /Ze S ` 4.c.c . ,1�'.3�F..(No.. /a. � . / /.4/V.r.Z ±� e beet
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No .... /2,30 ... -/ .e Street 0 t--'
State work to be performed and purpose of buildi oors).... r 5-� .d..r..C..e m2 Ape A t ,Az
New Building Remodeling Addition Repairs No. of Stories
Overhead 2 � Main Sw °� Amps - Main Fuses 2 X00 Amps
Service Size Feeders -. � Conduit u giiiimvd
Type of Installation— Conduit Tubing r B.X.L .Metal Moulding
(Si
Date //'
� /' 7
•
x..7 (Signed) 6 -.. A t i
Amount of Permit $
/ Electrical In pector.
The undersigned applicant for this building permit does hereby certify that he understands and accepthis 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 subcontractors, o 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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ,ELECTRICAL PERMIT
1
Permit No <
Date //° G' V(')
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 Shore 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...../... cad p, �.�.e
Registered Architect and /or Engineer ^�/ (/
Employing Electrician's Name. /4 sr5/2/2.C4 C.L .4'......�/ /0C./
Street.,4 <4I • :7 41/e.
,
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)
New Building Remodeling Addition
/i(.42 service Overhead Size Feeders.
Type of Installatipr— Conduit. Tubing
4 D
Amount of it $
/200
Repairs No. of Stories
Conduit L Main Sw 2. (r Amps 0 0
Amps
B.X.L Metal Moulding
(Signed)
Street.
Street..
Main Fuses
tical Inspector.
s as an employer of
ent Supplement, and
mployed by him in the
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractor
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•co .. ors, work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, , l
COUNTY OF DADE. l j
88.
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'7'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
/
/ L
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
�I� ` `00
a, E3 / / / /jJ
MOTORS
0.1 HP
MOTORS
1-S HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
I87
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ,ELECTRICAL PERMIT
1
Permit No <
Date //° G' V(')
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 Shore 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...../... cad p, �.�.e
Registered Architect and /or Engineer ^�/ (/
Employing Electrician's Name. /4 sr5/2/2.C4 C.L .4'......�/ /0C./
Street.,4 <4I • :7 41/e.
,
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)
New Building Remodeling Addition
/i(.42 service Overhead Size Feeders.
Type of Installatipr— Conduit. Tubing
4 D
Amount of it $
/200
Repairs No. of Stories
Conduit L Main Sw 2. (r Amps 0 0
Amps
B.X.L Metal Moulding
(Signed)
Street.
Street..
Main Fuses
tical Inspector.
s as an employer of
ent Supplement, and
mployed by him in the
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractor
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•co .. ors, work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, , l
COUNTY OF DADE. l j
88.
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.
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Project
Amt. of
Permit
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Buildin
Architec
Contract
or Build
Legal
Descript
Address
Building
MIAMI SHORES VILLAGE, FLORIDA
.,..,PERMIT N? 14194
El
Work to be performed under this Permit
This permit is granted to the contractor or buil r named above to c rbstruct the'buildir/g or to install the equipment or device d ribed in th • •lication
herefor in strict compliance with all ordinances pertaining thereto and wit the "derstandigg that the work will be performed in pliance with a Mans,
drawings, statements or specifications that may have been submitted to and appr• ed by the 'proper municipal authorities. This Permit may be revoked at
time if the work is not done in compliance with such ordinances or if tke plans a changed Y. 7 ithout authorization. A further condition upon which this permit 1.
granted is the understanding that the contractor or builder named above e the rest'nsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or aw' ga. r in tilt statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. 1 i t�*
Signed-,/
INSPECTOR
In consideration of the issuance to me of this permit I agret to perform the work covered hereunder in compliance wit a 1 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 wpck done by either, myself, my agent, servant or employee.
C ONTRACTOR OR BUILDER
BY
DATE ! Cl
Contractor's
License No
AUTHORITY