ELECTRICALPERMIT AP FOR MIAMI SHORES VILLAGE
Dat ) g 1n Job Address 2q kJ `.6 / Tax Folio ( / ,2v (001q e i rA
Legal Description ry) ion), Sft)i°S Historically Designated: Yes No
Owner/Lessee / Tenant L `' L `�'` At/el Master Permit #
Owner's Address
Contracting Co. I i fnn
Qualifier /�I,') k A
Notary as N,YCI
My ConunissioirggrieSSION NO. (X781282
_ _ _ N Ea OCT. ...
FEES: PERMIT ®Q RADON
Date
APPROVED:
Zoning Building
Mechanical Plumbing
Phone
Address 2 d ( fls
SS #� gL ' Phon0-'10'"gO2C)
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILD
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION � ( h ., ably) ly) I gdeVrc9
Square Ft. Estimated Cost (value)
2 0b 2
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
cons b.Qi n g. Furthennore, I authorize the above -named contractor to do the work stated.
Signature of Contractor or Owner - Builder Date
titOffikiftWONO
Notary as to wymavirtusbie
My Commission LION NO. (X.781282
C.C.F. • 6 0 NOTARY — 0 J BOND
Electrical
TOTAL DUE 5
Structural Engineer
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
c b, ..:k -- - So
Permit No ‘ 3..1(1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubmi ed for
the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
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 plane and specifications must be kept at
building during progress of work
Owner's Name and Address 0 FC.� � ,�.lJ � -- No Street
Registered Architect and /or Engineer
Employing ElectriciaA'e Name 8.. e
Location and Legal Description Lot Block
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
te
ServiOC nderground Size Feeders Conduit 2- Main Sw
(Signed) ..
Date
No Street 7LQ9 /)CO
Subdivision
Street iE
Repairs No. of Stories
J Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
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 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 wk to bejerformed under this permit, as are
licensed by Miami Shores Village.
MfI .LTG,C
a&ed
Master Elect
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before mee, the " undersigned
ll authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
a 11 - J IL��2x c ti
Elm -t d
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.
NOTARY PUBLIC STATE OF FLORIDA Al) LARGE
' AY COMMISSION EXPIRES JULY 30 1984
BONDED THRUivriratkimiiiion UBiE}ffFeit I TERS
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice.' .Tor irsl+eetion, or faulty
materials and /or workmanship.
Notary Public State of Florida
SWITCH
OUTLETS
LIONT
OUTLETS
PLUG
RECE•P T'S
FIXTURES
NO LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
c b, ..:k -- - So
Permit No ‘ 3..1(1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubmi ed for
the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
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 plane and specifications must be kept at
building during progress of work
Owner's Name and Address 0 FC.� � ,�.lJ � -- No Street
Registered Architect and /or Engineer
Employing ElectriciaA'e Name 8.. e
Location and Legal Description Lot Block
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
te
ServiOC nderground Size Feeders Conduit 2- Main Sw
(Signed) ..
Date
No Street 7LQ9 /)CO
Subdivision
Street iE
Repairs No. of Stories
J Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
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 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 wk to bejerformed under this permit, as are
licensed by Miami Shores Village.
MfI .LTG,C
a&ed
Master Elect
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before mee, the " undersigned
ll authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
a 11 - J IL��2x c ti
Elm -t d
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.
NOTARY PUBLIC STATE OF FLORIDA Al) LARGE
' AY COMMISSION EXPIRES JULY 30 1984
BONDED THRUivriratkimiiiion UBiE}ffFeit I TERS
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice.' .Tor irsl+eetion, or faulty
materials and /or workmanship.
Notary Public State of Florida
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Legal
Description
'se
PERMIT N? 5237
Work to be perf
Architect
or Builder J
0)1; te—
Contractor:
1 1 ¥ I
Address of • o : Value of I Amt. of f « 4,0 Buij�g� Project Permit
This permit is granted to the contractor or builder named above to constrict the building or to install the equipment or device described 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 time if the work is not done in compliance with such ordinances or if the plans are chan ithout authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above res ; ns' • ity for a thorough knowledge of e ordinances and
regulations pertaining to the work covered hereby whether shown on the p . R wi - '•r i e ements or specifications and the a respon-
sibility for work done by his agents, servants or employees.
Lot
ECTOR
In consid. < '•n of the issuance to me of this permit I agree to perform, the •o •yer; - hereunder in compliance with all ordinances• and regulations
pertaining ther and in strict conformity with the plans, drawings, statements .r s• cific. . s. submitted to the proper authorities of Miami Shores Village.
In accep . _ is permit I assume resp sibil• , for all work done by either myse , my agent; servant or employee.
I
MIAMI SHORES VILLAGE, FLORIDA
med under this Permit Ze--
Subdi- 7)
vision
DATE
BY
P I I 7 194_
Contractor's
License No
By •
AUTHORITY
-WILDING
LECTRICAL
'LUMBING
)wner of
wilding \
ti.'_•c.. -.o ✓fir 0 *
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5221
Work to be performed under this Permit 16-10
\rcllitect
) ontractor : `,. (,) C. ) a. Builder , J..lr.,�.p ; .." :11..7 e l'' '.
.egal , Lot Bi !`
Description C ....9 S J' f ` ' 1"'
xS
Signed:
Subdi-
vision •
.ddress of }
wilding 7 5'7
This ennit is granted to the contractor or builder named above to construct, the building or to install the equipment or device described in the appli-
!ation herefor in strict compliance with all ordinances pertaining thereto and with the' understanding that the work will be performed ii- complianck with any
Mans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may 6e revoked
it any time if the work is not done in compliance with such ordinances or if the plans are changed without ar orization. 4 further condition upon which this
iermit is granted is the understanding that the contractor or builder named above ass peg res.. ibilit j for a ugh know led - tl ordinances and
egulations pertaining to the work covered hereby whether shown on the plans or . Si•' gs or in e stat • . e:nts . spec ifications an. : t' , ~ ssutnes respon-
sibility for work done by his agents, servants or employees. „e' ' -
...r ..Syyit1/s r
4.
_
Value of
Project
In consideration of the issuance to me of this permit I agree to perform the work ove - e. • - der in compliance with all ordina • s and regulations
:ertaining: thereto and in strict conformity with the plans, drawings, statements or specificatO s submitted to the proper authorities of r r : mi Shores Village.
In accepting this permit I assume responsibility for all work done'by either myself, my agent, servant or employee.
BY
DATE
Arnt. of
Permit
AUTHORITY
194_
Contractor's
License No
c
BOLDING
ELECTRICAL
IlLUABING
Owner of if
, Building t`o
Legal
Description
Address of
Building
In consi
PERMIT N? 5237
License No. / /
Contractor's
Work to be performed under this Permit
MIAMI SHORES VILLAGE, FLORIDA
DATE 11 ,171 4- 194_
1
Architect
,-.
Contractor , ,, , -1 z. ,
ie- i 07,
or Builder < , . --(=-!' .' '1'• '.-• . ,.../' 1 — ' .. -.)
.-
c31. 11
1- I
4
sibility for work done by his agents, servants or employees.
Signed
Subdi- #
vision
Value of
Project •
ation of the issuance to me of this permit I agree to perform theAvdcove
Amt. of
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 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, drawinffs, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time irthe work is not done in compliance with such ordinances or if the plans are cha d without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above a es responAility for a thorough knowledge of e ordinances and
regulations pertaining to the work covered hereby whether shown on the plans Q or in die Atlitements or specifications and es respon-
By
PECTOR
hereunder in compliance with all ordinances and regulations
pertaining the and in strict conformity wh the plans, drawings, statements'or s ecifications submitted to the proper authorities of Miami Shores Village.
In accep ' , is permit I assume responsib" (y for all work done by either myself, my agent, servant or employee. ;-- p / 4.4 )
i'`,0t.1 (' iltibee--44 es; - i (f •
NTRACTOR OR BU DER 7 ' ' dr' II 0 1
k BY
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect 9
Contracto l
or Build A
-" �i`AA "�,-• s�it� .,�
�•�,".,+�,y�w• 5 t�..�- �^ +_tea �,`.�,
CONTRACTOR OR BUI1 DER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 5221
Work to be performed under this Permi
t
Signed:
DATE "/ J'+a�/ S A 194_
a
Legal Lot �� V BL g- 5 / Subdi-
Description .r15; 7j vision 1 e
Address of ,T? it
e 1.-- {"
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 a thorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above ass -s the r sibilit for a ..ugh knowled e of ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or . ngs or 1m e stag . ents cifications a. •r : a assumes respon-
sibility for work done by his agents, servants or employees. ,,:It'
Value of
Project
BY
CTO
Contractor's f�
License No
Amt. of
Permit
In consideration of the issuance to me of this permit I agree to perform the work over•. under in compliance witlll ordinal{ es an r bons
pertai9in thereto and in strict conformity with the plans, drawings, statements or specifica. +ns submitted to the proper authorities of � f ami Sltr`elage.
In ace g this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
i
• AUTHORITY
Permit No.,_
APPLICATION FOR ELECTRICAL PERMIT
Date _____L r
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 betel ry specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description
Street and Number where work is to be performed —No
Amount of Permit $__�
My Commission Expires
ELECTRICAL INSPECTION DEPARTMENT
No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs _____________ __________ No. of Stories_______ —__
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Main Sw __ Amps.
(Signed)
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 com-
plied 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 . t 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
Main Fuses_
Notary Public. State of Florida
•
I
Subdivision_ Ark
Electrical Inspector.
,.''Master Electrican.
Amps.
STATE OF FLORIDA, }
ss
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, 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.
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
Permit No.,_
APPLICATION FOR ELECTRICAL PERMIT
Date _____L r
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 betel ry specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
MIAMI SHORES VILLAGE
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description
Street and Number where work is to be performed —No
Amount of Permit $__�
My Commission Expires
ELECTRICAL INSPECTION DEPARTMENT
No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs _____________ __________ No. of Stories_______ —__
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Main Sw __ Amps.
(Signed)
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 com-
plied 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 . t 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
Main Fuses_
Notary Public. State of Florida
•
I
Subdivision_ Ark
Electrical Inspector.
,.''Master Electrican.
Amps.
STATE OF FLORIDA, }
ss
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, 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.
Permit No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
irk° 3
Date_
4L
Application is hereby made f6r 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.
0 !J C;1 oit J QL. G C
Owner's Name and Address No
____. Street_ ___________ _
� _______w_______________ . �________�____w_
Registered Architect and /or Engineer
.L: �i t ,r l ij �.^ 6.
____ _ _��_'� +nE' N 11 vJ. �, ' err` s','
Employing Electrician's Name ______
-- ---- ----- ---- - --- -- Street- -- ---
�. X5
Location and Legal Description Lot "' `'Lt 1 c:. :7 _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
Amount of Permit S-
Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders_y _____ Conduit.___ 1I __ Main Sw. ! J V Amps. w Main Fuses__
Underground
tiT
Type of Installation— Conduit______"______ Tubing `' B.X.L Metal Moulding
(Signed) i M
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 o lorida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or b -co enactors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the si of. - the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, o ork to be performed under this permit, as are
licensed by Miami Shores Village.
(S'
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized
to administer
My Commission Expires Notary Public. State of Florida
r f
Master Electrt
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
ul 30
30
3:
�.,
1
1
1
1
4 '
CHECK
0-1
d
I' , 1
i �
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
I
�-
CHECK
Permit No.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
irk° 3
Date_
4L
Application is hereby made f6r 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.
0 !J C;1 oit J QL. G C
Owner's Name and Address No
____. Street_ ___________ _
� _______w_______________ . �________�____w_
Registered Architect and /or Engineer
.L: �i t ,r l ij �.^ 6.
____ _ _��_'� +nE' N 11 vJ. �, ' err` s','
Employing Electrician's Name ______
-- ---- ----- ---- - --- -- Street- -- ---
�. X5
Location and Legal Description Lot "' `'Lt 1 c:. :7 _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
Amount of Permit S-
Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders_y _____ Conduit.___ 1I __ Main Sw. ! J V Amps. w Main Fuses__
Underground
tiT
Type of Installation— Conduit______"______ Tubing `' B.X.L Metal Moulding
(Signed) i M
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 o lorida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or b -co enactors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the si of. - the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, o ork to be performed under this permit, as are
licensed by Miami Shores Village.
(S'
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized
to administer
My Commission Expires Notary Public. State of Florida
r f
Master Electrt
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.
g)i i A c � p0 o
Permit No
Owner's Name and Address
Amount of Permit $
1
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date i f T l 1 -s'
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 lv Street 1-1- J !
Registered Architect and /or Engineer �p� ,t
Employing Electrician's Name.... ... u .. 62412. No 8796 Street. 2e La,n.[.�
Location and Legal Description Lot Block Subdivision Fla. 33155
Street and Number where work is to be performed— No..../ 298 / v ?CST Street ! ss 7'
41. ael-C
State work to be performed and purpose of building (By Floors)
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 0 Tubing B.X.L Metal Moulding
(Signed)...t".1.t..vR10V..
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 compl . : .m all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be •osted for in . ection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only s . ch sub' contra • rs, on work . be performed under t permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. I �°'
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'8
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
T /Le `� ®
[ (,�/ •w'Y
, TOTAL
CONTR.
LIST
3
r
o
'',
�°
3
I
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL,
CONTR.
LIST
CHECK
g)i i A c � p0 o
Permit No
Owner's Name and Address
Amount of Permit $
1
MIAMI SHORES VILLAGE
ELECTR ICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date i f T l 1 -s'
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 lv Street 1-1- J !
Registered Architect and /or Engineer �p� ,t
Employing Electrician's Name.... ... u .. 62412. No 8796 Street. 2e La,n.[.�
Location and Legal Description Lot Block Subdivision Fla. 33155
Street and Number where work is to be performed— No..../ 298 / v ?CST Street ! ss 7'
41. ael-C
State work to be performed and purpose of building (By Floors)
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 0 Tubing B.X.L Metal Moulding
(Signed)...t".1.t..vR10V..
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 compl . : .m all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be •osted for in . ection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only s . ch sub' contra • rs, on work . be performed under t permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. I �°'
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.