ELECTRICALBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Legal /Lot
Description -
Address of
Building
Architect
Contractor
or Builder . ' € ' s
MIAMI SHORES '
PERMIT N°
Work to be performed under this Perm
1 ' w+'
dee-
This permit is granted to the contractor or builder named above to con
herefor in strict compliance with all ordinances pertaining thereto and with 1
drawings, statements or specifications that may have been submitted to and a
time if the work is not done in compliance with such ordinances or if the plans
granted is the understanding that the contractor or builder named above assun
pertaining to the work covered hereby whether shown on the plans or drawing
done by his agents, servants or employees.
Signed
In consideration of the issuance to me of this permit I agree to perfor
pertaining thereto and in strict conformity with the plans, drawings etatementt
In accepting permit I assume responsibility for all work done 'by either,
ONTRACTOR OR BUILDER
✓ILLAGE, FLORIDA
9969
Subdi-
vision
Value of
Project $
R s
BY
DATE
Contractor's
License No.
II Amt. of
Permit $
truct the building or to install the equipment or device described id the application
he understanding that the work will be performed in compliance with any plans,
?roved by the proper municipal authorities. This Permit may be revoked a
are changed without authorization. A further condition upon which this pe
es the responsibility for a thorough knowledge of the ordinances and regula ons
e or in the epts or specifications and that he assumes re§ponstbl7ity for work
Y t 4fi: BY t..
INSPECTOR
i the work covered hereunder in compliance with all ordinances and regulations
or specifications submitted to the proper authorities of Miami Shores Village.
myself, my agent, servant or employee.
AUTHORITY
195 r
IS
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
contractor
or Builder
l� PERMIT N°
Legal Lot BL
Description.
Address of
Building
This permit is granted to the contractor or builder named above to co
herefor in strict compliance with all ordinances pertaining thereto and with
drawings, statements or specifications that may have been submitted to and a
time if the work is not done in compliance with such ordinances or if the plan
granted is the understanding that the contractor or builder named above assu
pertaining to the work covered hereby whether shown on the plans or dragrii
done by his agents, servants or employees.
Signed•
In consideration of the issuance to me of this permit I agree to pe c
pertaining thereto and in strict conformity with the plans, drawings, state en
In accepting this permit I assume responsibility for all work done by ei er,
CONTRACTOR OR BUILDER
MIAMI SHORES
Work to be performed under this Porn 't
z
ILLAGE, FLORIDA
DATF ,. •' ( 195
0209
-- Subdi-
vision
Value of
Project $
BY
_,,
dreL
Contractor's
License No.
Amt. of
Permit $ / 7 R,,
struct the building or to install the equipment or device described in the application
the understanding that the work will be performed in compliance with any plans,
proved by the proper municipal authorities. This Permit may be revoked at any
are changed without authorization. A further condition upon which this permit is
es the responsibility for a thorough knowledge of the ordinances and regulations
gs or in the statements or specifications and that he assumes responsibility for work
BY
INS CTOR
m the work covered hereunder in compliance with a or nances and regulations
s or specifications submitted to the proper authorities Miami Shores Village.
myself, my agent, servant or employee. ✓
AUTHORITY
• ' •
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No r� a 2 o
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 Miam;; 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.
Amount of Permit $...J.. •.7
SS.
No L/ a 7
Owner's Name and Address...., A..fr —4
Registered Architect and /or Engine . .....
Employing Electrician's Name �A��s.(,� .. No. ...orz. /_
7 s
Location and Legal Description Lot Block
Street and Number where work is to be performed —No '= . 1..2
�.� ,
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition Repairs No. of Stories
Overhead q�
Service Underground Size Feeders 5:2 +� ` (1 Conduitc�K. ..y..Main Sw....,p2 t—'>r Amps Main Fuses.... Ara Amps
Type of Installation — Conduit Tubing B.X.L..... .Metal Moulding
s
(Signed) ---4-4 ..1::..4,7 d
The undersigned applicant for this building permit does hereby certify that he Understands and a
labor under the Florida Workmen's Compensation Act, being Section 5956, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be poited for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed)
Street
Subdivision
Date 1
)'�....,r /a 7, -?
Street l
Street
�' $lectrical Inspector.
ccepts his obi' Ions as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
6
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 dtiposes 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- nspection 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
RANGIC
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
C� ST
1 /
ea 3
5"/
a
_L_
/
/
.1-___
1
_l___
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
M OTORS
1-5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
• ' •
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No r� a 2 o
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 Miam;; 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.
Amount of Permit $...J.. •.7
SS.
No L/ a 7
Owner's Name and Address...., A..fr —4
Registered Architect and /or Engine . .....
Employing Electrician's Name �A��s.(,� .. No. ...orz. /_
7 s
Location and Legal Description Lot Block
Street and Number where work is to be performed —No '= . 1..2
�.� ,
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition Repairs No. of Stories
Overhead q�
Service Underground Size Feeders 5:2 +� ` (1 Conduitc�K. ..y..Main Sw....,p2 t—'>r Amps Main Fuses.... Ara Amps
Type of Installation — Conduit Tubing B.X.L..... .Metal Moulding
s
(Signed) ---4-4 ..1::..4,7 d
The undersigned applicant for this building permit does hereby certify that he Understands and a
labor under the Florida Workmen's Compensation Act, being Section 5956, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be poited for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed)
Street
Subdivision
Date 1
)'�....,r /a 7, -?
Street l
Street
�' $lectrical Inspector.
ccepts his obi' Ions as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
6
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 dtiposes 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- nspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORE :S VILLAGE Prif
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit &l 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 Mian,i 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 __ _7_ No. 7 a. __ /.
Registered Architect and /or Engineer _____.--,,
Employing Electrician's Name_ . _ No. Street__
Location and Legal Description Lot_ _Black Subdivision --
FR _
Street and Number where work is to be performed— No. ___ � — _________ Street / ' Z"'1
1 __ 7
Service Overhead Size Feeders Conduit Main Sva._ ___ Amps. Main
Underground
Type of Installatt on-- Conduit Tubing B.X.L .Metal Moulding
New Building — Remodeling Additiol► __ Repa :rs ____ No. of Stories
State work to be performed and purpose of building (By Floors)
(Signed)
Date__ '.! (_
The undersigned applicant for this building permit does hereby certif.r th he tjaaerstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Com ed neral Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance fr9 all < ontractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for id pection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only ,such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) - — -- – – — – — –
Street _ Q
Notary Public. State of Florida
Electrical Inspector,
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 be 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- ;nspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
L � q _ Master Electrican.
C X1t. 4.s
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'PP
FIXTURES
NO. LAM PS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLILT
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
1 -5
= 15 4
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
My Commission Expires
MIAMI SHORE :S VILLAGE Prif
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit &l 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 Mian,i 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 __ _7_ No. 7 a. __ /.
Registered Architect and /or Engineer _____.--,,
Employing Electrician's Name_ . _ No. Street__
Location and Legal Description Lot_ _Black Subdivision --
FR _
Street and Number where work is to be performed— No. ___ � — _________ Street / ' Z"'1
1 __ 7
Service Overhead Size Feeders Conduit Main Sva._ ___ Amps. Main
Underground
Type of Installatt on-- Conduit Tubing B.X.L .Metal Moulding
New Building — Remodeling Additiol► __ Repa :rs ____ No. of Stories
State work to be performed and purpose of building (By Floors)
(Signed)
Date__ '.! (_
The undersigned applicant for this building permit does hereby certif.r th he tjaaerstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Com ed neral Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance fr9 all < ontractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for id pection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only ,such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) - — -- – – — – — –
Street _ Q
Notary Public. State of Florida
Electrical Inspector,
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 be 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- ;nspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
L � q _ Master Electrican.
C X1t. 4.s