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ELECTRICALDate PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /5 /14 7 5 5 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant _,> Pi ,/ ' / Master Permit # g1 "/ 7/ Owner's Address /-� 0 Alt" 93 077- i ...0/17 Phone I Address .577Z (' pi/ / 5 l'� Contracting Co. ; /. ' 7P- ss# Phone 5o 'sue e Competency # Ins. Co. Architect/Engineer Address Qualifier State # 0 0 i ) 9. Municipal # Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING E WORK DESCRIPTION i �.- / 044.f Square Ft Estimated Cost (value) 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 construction and zoning. Furthermore, I authorize the above -named contra tor to do the � -.rk stated. Signature actor or Owner - Builder ROBIES MY CO ISSION # CC 921872 EX IRES: June 4, 2004. Bonded Thru Notary Public Undetwdlers , FEES: PERMIT PLUMBING MECHANICAL RO Notary My Commrssror: APPROVED: Zoning Building Electrical Mechanical Plumbing FING PAVING FENCE SIGN Wee. y j Owner 8013LES S .,k: MY COMMI ION # 921872 ' EXPIRES: June 2004 ' .0.1"' Bonded Thru Notary Public Underwriters RADON C.C.F. h V NOTARY 0 BOND TOTAL DUE Date Date a Engineering , Permit No APPLICATION FOR ELECTRICAL PERMIT (p S Owner's Name and Address Service Overhead Underground Size Feeders Amount of Permit 3 N. 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 6977 (Signed) (Signed) V' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewiflf 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...IC° Street l Sei Registered Architect and /or Engineer pp�� Employing Electrician's Name .i. .A..l No..J 1 Q Street / 3 0 . ; e New Building Remodeling � Addition Repairs fV- Location and Legal Description Lot Subdivision Street and Number where work is to be performed —No / c o Street 9 State work to be performed and purpose of building (By Floors) • No. of Stories fe Conduit Main Sw --Cs Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F rida 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. 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 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 PLUGS RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER 9 Q y `�Y TOTAL CONTR. LIST / CHECK IS 1, SI' A 0 L) ENT. Sw. DIST. CAB. SERVICE SERVICE TEMP. PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. � � p 9'7\ Oi`•'N I DZ ` 7,1 CHECK , Permit No APPLICATION FOR ELECTRICAL PERMIT (p S Owner's Name and Address Service Overhead Underground Size Feeders Amount of Permit 3 N. 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 6977 (Signed) (Signed) V' Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewiflf 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...IC° Street l Sei Registered Architect and /or Engineer pp�� Employing Electrician's Name .i. .A..l No..J 1 Q Street / 3 0 . ; e New Building Remodeling � Addition Repairs fV- Location and Legal Description Lot Subdivision Street and Number where work is to be performed —No / c o Street 9 State work to be performed and purpose of building (By Floors) • No. of Stories fe Conduit Main Sw --Cs Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F rida 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. 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 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building j 1 • Lot <t MIAMI SHORES VILLAGE, FLORIDA DATE 01,N , 1944 Contra,;or's License No. r PERMIT N? 3748 orli to be performed under this Permit Bl. Subdi- vision Value of Project 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 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 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 authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. , ` r 4 i' ‘ Signed f� <' 7? `,.' 4 �`-B )Y f': 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 regula- ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores tllage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTI;ACTOR OR BUILDER " BY Amt. of �? Permit AUTHORITY 1.55 .ill BUILDING ELECTRICAL PLUMBING Owner of Building . CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N9 2736 Work to be performed under this Permit Architect Contractor or Builder Legal Lot BI. Description Address of Building 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 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 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 authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. By 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 regula- tions 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 work done by either myself, my agent, servant or employee. Subdi- vision Value of Project •' :' ,/ J • . ! "i t ¢'iR; rte. Contractor's License No. Amt. of Permit BY AUTHORITY 194_ BUILDING ELECTRICAL PLUMBING PERMIT N° 3748 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. i Description Address of Building MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project DATE t 1 f 194 Contractor's ,r License No. 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 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 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 authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed ..• By 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 regula- tions 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 work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY APPLICATION FI R ELECTRICAL PERMIT Permit No- K3 NJ Date /(. -- 0 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. 1 - Owner's Name and Address ___ -11 1 / Registered Architect and /or Engineer c Employing Electrician's Name " ° • �� ' Location and Legal Description Lot 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 Repairs Amount of Permit STATE OF ORIDA, COUNTY OF DADE. SS. MIAMI SHORES VI LLAG E ELECTRICAL INSPECTION DEPARTMENT Block • No (Signed) Subdivision Street /2� ! __ ° Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding 1 (Signed) Street 4 % _? My Commission Expires Notary Public, State of Florida Street__ 7 /, , - No. of Stories_____________ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understan s 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 site of the work such public notice or notices as are required by the Act. The under si ned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed, by Miami Shores Villa e. // o Master Electrican. 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 I RON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER.. W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL G U ST LI ST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST • CHECK APPLICATION FI R ELECTRICAL PERMIT Permit No- K3 NJ Date /(. -- 0 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. 1 - Owner's Name and Address ___ -11 1 / Registered Architect and /or Engineer c Employing Electrician's Name " ° • �� ' Location and Legal Description Lot 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 Repairs Amount of Permit STATE OF ORIDA, COUNTY OF DADE. SS. MIAMI SHORES VI LLAG E ELECTRICAL INSPECTION DEPARTMENT Block • No (Signed) Subdivision Street /2� ! __ ° Service Overhead Size Feeders Conduit Main Sw Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding 1 (Signed) Street 4 % _? My Commission Expires Notary Public, State of Florida Street__ 7 /, , - No. of Stories_____________ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understan s 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 site of the work such public notice or notices as are required by the Act. The under si ned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed, by Miami Shores Villa e. // o Master Electrican. 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. NO. STREET PART OF LOT LOT BL'K SUIIVISION x be ELECTRICAL PERMIT N. B. —This Permit must be on 'display on the premises during the co9'struction. le j' n n Owner of Building v it Contractor or Electrician (;' Outlets Motors Receptacles Generators Stoves Dated 19 91iami cShores96llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 Water Heaters NUMBER OF LO CATI 0 N N° 508 DESCRIPTION OF WORK Signs Billboards Other Apparatus Permit Fee 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. , 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 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. (Seal) NO. STREET PART OF LOT LOT BL'K SIJI3DIVISION j a "' Other Apparatus , 1 4. Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee l / / hib iP •■••■■••••~N ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Buildingfr ractor or Electricia`- Dated e 7 (iQi11t cSltores91llage F L o A ID A OFFICE OF ELECTRICAL DEPARTMEf•JT t- �? . Miatpi Shores Village, Fla ' 19 NUMBER OF LOCATION N° _ 288 DESCRIPTION OF WORK • 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 ma be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon a y change. n the plans and sp ifications unauthorized by this Department. • , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I here .y 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. , 19 (Seal) ID PERMIT N° 15596 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot II Bi. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE 195 Contractor's License No 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 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 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 authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. .,se Signed• ... BY 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 this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 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 Buildingt° Contractor or Electrician `` aiami Shores F L O A I D A OFFICE OF ELECTRICAL DEPARTMENT Miatiai Shores Village, Fla , " '' 19 LO CATI O N DESCRIPTION OF WORK NUMBER N9 288 This Permit is granted upon the express condition that all facts stred in the Application are true and that the construction complies strictly with =-he plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time ipon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by its Department. Ala , 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 Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the to of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami -res Village. Dated Y , 19 (Seal) Mir NO. Motors STREET !z3 PART OF LOT LOT BL'K SUBDIVISION ��II ��(C� % / /'' ii , a Outlet' Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee / / C y t`Cl/.,,-A / j-1- ) ELECTRICAL PERMIT N. B. —This Permit must be on . ispj}ay on the premises during the co ,: trud lon. i Owner of Building #� Contactor or Electrician 17 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with Mans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code ami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time the violation of any provisions of said laws, ordinances, or rules and regulations, or r upon any change in the plans and specifications unauthorized by P N ,' , 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 . Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the Ate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami cores Village. Department. Dated , 19 41iami cShores F L O & ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , LO CATI 0 N DESCRIPTION OF WORK 192' N? _ 508 (Seal) OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN Sue BRANCH Basement First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN Sue BRANCH Basement First Second Third / / Fourth Other Flodrs APPLICATION FOR ELECTRICAL PERMIT is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Owner Building Contractor L .,. Electrical Contractor s Details of proposed work: Number of Motors Work begun Work finished Signature of Applicant Address (if other than owner or contractor) t —. A Miami fhoresC)illage F L 0 R 1 D A l/ ` 2 - ' - Address 0 H P Volts (SPACE BELOW FOR INSPECTOR'S USE ONLY) Inspected Final inspection Date S° S 0 4 c6 Building: Old or new Number of stories Used as > /LP Location of proposed work: Lot Block Subdivision Description of proposed work Amps Phase Additional Information 193 F , Inspector OUTLETS MOTORS RECEPTACLES GENERATORS STOVER WATER H•TERS SIGNS BILLBOARDS OTHER MAIN SUB BRANCH Basement f l o f / APPARATUS First FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement f l First Second Third Fourth ' Other Floors e 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: Owner Building Contractor Electrical Contractor Location of proposed work: Lot Building: Old or new, Number of stories Used as Description of proposed work -`tea Details of proposed work: Number of Motors Work begun H P. Signature of Applicant Address (if other than owner or contractor) aiami cShores9 llage F L O R I D A Block Subdivision Volts Date / 193___ Address /4-o Amps Phase Additional Information Inspected „r L (SPACE BELOW FOR INSPECTOR'S USE O 4t ) / n Work finished Final inspection 4 2' . i ^ 'i v” o 1 2 � / 7 � iInnpector f ,A Permit No. v 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. Owner's Name and Address _ WI _ y_= ' 'Cd No. 7 0 Street Registered Architect and /or En ' e _ F _ ___— _____— L'_�.' � No t _ —� %t `�+if �f Street__ 'IA • � s Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No d `° Street_ `` � 9 57: _ 1 �� '_�_ _.,e �__ ___� —w_ ;: ____! State work to be performed and purpose of building (By V '''t-'7 4 °` p p p g (By Floors) ____— Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. l'® SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT New Building Remodeling Addition Repairs Date /e/ Service Overhead - Size Feeders Conduit Main Sw Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida No. of Stories (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 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 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 AA licensed by Miami Shores Village. r q ti f n/ %? f (Signed) Master Electrican. 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 FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER. W. HEAT. CONN. SPACE HEATER STRIP HEATER _ TOTAL CONTR. LI sT 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. v 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. Owner's Name and Address _ WI _ y_= ' 'Cd No. 7 0 Street Registered Architect and /or En ' e _ F _ ___— _____— L'_�.' � No t _ —� %t `�+if �f Street__ 'IA • � s Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No d `° Street_ `` � 9 57: _ 1 �� '_�_ _.,e �__ ___� —w_ ;: ____! State work to be performed and purpose of building (By V '''t-'7 4 °` p p p g (By Floors) ____— Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. l'® SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT New Building Remodeling Addition Repairs Date /e/ Service Overhead - Size Feeders Conduit Main Sw Amps. Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding Notary Public, State of Florida No. of Stories (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 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 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 AA licensed by Miami Shores Village. r q ti f n/ %? f (Signed) Master Electrican. 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM,FT • _f Permit No. ____ —___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su /mitted 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 67,/, building during progress of work. Owner's Name and Address _ Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ r1 (Signed) -- - - -�_= The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. SS. My Commission Expires (Signed) Date No......... L- Block Subdivision__ Street____ I I�J�y'`'°l State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs. . No. of Stories Main Sw Amps. _______________ Main Fuses Amps. B.X.L. .Metal Moulding — -------- - - ---- - - -- • Street__t _ l L �> ee __ == — - -- — Electrical" Inspector. rtify that he understands and accepts his obligations as an employer of labor Comeiled General Laws of Florida Perm neat Supplement, and has com- from all contractors or sub-contractors ployed by him in a ork to b inspection on the site obi the /vork. ch pub c notice otices as re sub - contractors, on w r fir \be rformec t" under his rmit, as Notary Public. State of Florida ire STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized 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. to administer oaths and take acknowledgments, personally 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM,FT • _f Permit No. ____ —___ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su /mitted 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 67,/, building during progress of work. Owner's Name and Address _ Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ r1 (Signed) -- - - -�_= The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. SS. My Commission Expires (Signed) Date No......... L- Block Subdivision__ Street____ I I�J�y'`'°l State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs. . No. of Stories Main Sw Amps. _______________ Main Fuses Amps. B.X.L. .Metal Moulding — -------- - - ---- - - -- • Street__t _ l L �> ee __ == — - -- — Electrical" Inspector. rtify that he understands and accepts his obligations as an employer of labor Comeiled General Laws of Florida Perm neat Supplement, and has com- from all contractors or sub-contractors ployed by him in a ork to b inspection on the site obi the /vork. ch pub c notice otices as re sub - contractors, on w r fir \be rformec t" under his rmit, as Notary Public. State of Florida ire STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized 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. to administer oaths and take acknowledgments, personally 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. ;UILDING LECTRICAL 'LUMBING GOOFING Jwner of ? wilding .rchi test :ontractor r Builder egal )escription MIAMI SHORES VILLAGE. FLORIDA o PERMIT N? 6658 CONTRACTOR OR BUILDER Lot B1 .ddress of uilding Work to be performed under this Permit 4 Ir Subdi- vision Value of Project $ Contractor's me by his agents, servants or employees. DATE 195 . , License No. Amount 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 application 3refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans "awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any aye 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of he ordinances and regulations :rtaining to the work covered hereby whether shown on the plans or drawings cr the statements or specifications and that he sumes responsibility for work Signed. BY 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 :rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 8 "o`�'ts%L