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443 NE 95 St (13)APPLICATION FOR ELECTRICAL PERMIT A Permit No..___ f - Date 11 ! 1_6 q 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... Registered Architect and/or En • er Employing Electrician's Name -. ..4....1"1. _. 3 No �.._a .Street N_ _Y -) - /- ' ' LET ''-- /I 1+5} -- -- -. __ - - - -- -- _.. o� Location and Legal Description Lot_. __ ' 3 ___ . .. . 3 ..___ _ Block_._ 3 Subdivision " L' 5 ' , Z Street and Number where work is to be performed -No. q _ 11_ ± Street.-- K _ t 3 S X ' State work to be performed and purpose of building (By Floors) ----- - - - - -- New Building awl . - .Remodeling Addition Repairs No. of Stories________- CONTR. LI ST CHECK CONTR. LIST CHECK i SWITCH OUTLETS ENT. SW: LIGHT PLUG OUTLETS RECE'P'T. si :G DIST. CAS. SERVICE TEMP. MIAMI SHORES VILLAGE FIXTURES NO. LAMPS ELECTRICAL INSPECTION DEPARTMENT SERVICE PERM. REFRIG. OUTLET ,. 6o No.. - - 7 4.1 .1 Street.LV_ -f? 3 ---- 5 '_ -- IRON RANGE OUTLET OUTLET 1 / 3" RANGE CONN. MOTORS 0.1 HP WATER W. HEAT. SPACE HEATER CONN. HEATER MOTORS 1.5 HP NEON TRANS. (Signed) _______ _ STRIP H EATER RADIO TOTAL. TOTAL. Service Underground Size Feeders .. Conduit_] L. Main Sw. ____-- 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 tha e understands and accepts 1`.ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori. a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 Master Electrician. 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, 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 0.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. APP 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______ r.. Registered Architect and /or Engi a ie r Employing Electrician's Name__ . P_ Subdivision Street and Number where work is to be performed— No._______.____._._____ ___ ____________________Street__._IT £c .___� State work to be performed and purpose of building (By Floors) New Building---- _ ..... __.____Ri modeling Addition Repairs No. of Stories-______-_____ Location and Legal Description Lot Block Service Overhead Underground Size Feeders Conduit____________M Type of Installation — Conduit- Tubing B.X.L.__. STATE OF FLORIDA, COUNTY OF DADE. appeared_ _______ } ss. Before me, the undersigned MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (CATION FOR ELECTRICAL PERMIT Date.. $ C NAPIGVA. - - _ _ -- - -No _ 1_ -_- - street _fi E 7 J^ No 3__ Zr_Q Street__.N-_w _ ._!._L.. _Amps Main Fuses_ _.Amps Metal Moulding Amount of Permit $... (Signed)._ Inspector. The undersigned applicant for this building permit does hereby certify that derstands and accepts his oblig as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co ed General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by .Miami Shores Village. Master Electrician. authority, a notary public, duly a uthorized to administer oaths and take acknowledgments, personally - -- ----- -- -- --- ------------------------------ 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 I 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. CAS. SERVICE TEMP. SERVICE PERM. - MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST J I��'I��� c - - CHECK — r' /} APP 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______ r.. Registered Architect and /or Engi a ie r Employing Electrician's Name__ . P_ Subdivision Street and Number where work is to be performed— No._______.____._._____ ___ ____________________Street__._IT £c .___� State work to be performed and purpose of building (By Floors) New Building---- _ ..... __.____Ri modeling Addition Repairs No. of Stories-______-_____ Location and Legal Description Lot Block Service Overhead Underground Size Feeders Conduit____________M Type of Installation — Conduit- Tubing B.X.L.__. STATE OF FLORIDA, COUNTY OF DADE. appeared_ _______ } ss. Before me, the undersigned MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (CATION FOR ELECTRICAL PERMIT Date.. $ C NAPIGVA. - - _ _ -- - -No _ 1_ -_- - street _fi E 7 J^ No 3__ Zr_Q Street__.N-_w _ ._!._L.. _Amps Main Fuses_ _.Amps Metal Moulding Amount of Permit $... (Signed)._ Inspector. The undersigned applicant for this building permit does hereby certify that derstands and accepts his oblig as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co ed General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by .Miami Shores Village. Master Electrician. authority, a notary public, duly a uthorized to administer oaths and take acknowledgments, personally - -- ----- -- -- --- ------------------------------ 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. . • r 1 y r BUILDING 3 ELECTRICAL PLUMBING r - Work t Owner off. Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7894 erformed under this Permit Architect Contractor or Builder Legal B Description Address of Building This permit is granted . th contractor . . uilder a I •• . above t cation herefor in strict compliance with all ordinances p aining thereto plans, drawings, statements or specifications that may ha e been submit at any time if the work is not done in compliance with such ordinances Lot CONTRACTOR OR BUILDER Subdi- vision Value of Project onstruct the build' d with the unde d to and a.prov rif the p permit is granted is the understanding that the contractor or builder n. med abov regulations pertaining to the work covered hereby whether shown on the plans sibility for work done by his agents, servants or employees. INSP In consideration of the issuance to me of this permit I . y ee to perfo e work covered hereunder in compliance wi a pertaining thereto and in strict conformity with the plans, draw >. _ ents or specifications submitted to the proper authori In accepting this permit I assume responsibility for a work done by either myself, my age >}t, servant or employee. BY DATE Contractor's License No Amt. of Permit 19 f to install the equipment or device described in appli- that the work will be performed in compliance th any roper municipal authorities. This Permit may be revoked without authorization. A further condition upon which this sp . s ibility for . thorough knowledge of the ordinances and ements .r s• ifications and that he assumes •spon- ances and r:ati e s #.i of Miami Sho . �_' " MIAMI SHORES VILLAGE, FLORIDA .. . .ILDING DATE '� • / u 194_ �ECTRICAL PERMIT N? 7956 o tractor's .'LUMBING - License No Owner Alp Building Architect Contractor or Builder Legal Lot Description Work to be performed CONTRACTOR OR BUILDER Bl. under this Permi tCr.c.✓'' �� Subdi- vision Building , / $/ # . . • -7 .4e � Val a of I Amt. > ,` �` f j Project Permi i' . 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 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 respon- sibility for work done by his agents, servants or employees. BY Signed. 0 41 " 1 - 4 C. 4 — .. B !•� INSPECTOR In consideration of the issuance to me of this permit I agree to perfomy a work covered hereunder in compliance with al.% nces anti rpgu s 'O pertaining thereto and in strict conformity with the plans, drawings, statem @n s or specifications submitted to the proper authoriBeR of Miami Skores' ViIl In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY