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420 NE 94 St (4)Permit No._ - 3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 Registered Architect and /or Engineer Employing Electrician's Name ____ ___ _ • :6_ No. Street___., Location and Legal Description Lot___ _____________�_ Street and Number where work is to be performed —No Y r' __.__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition .._______________________ Repairs Service Overhead Size Feeders__ -`_ Conduit__ Underground Type of Installation— Conduit Tubing Amount of Permit $ (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 No Street Main Sw ___ (Signed) B.X.L Metal Moulding Subdivision ____________________________ Street_ / � /7 z3 No. of Stories Amps. Main Fuses Amps. Electrical 1m(nector. rtify that be uncle ands and accepts his obligations as an em df labor Compiled Gen Laws of Florida Permanent Supplemen , and has com- from or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 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, 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. Notary Public. State of Florida Master Electrican. 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.LAM PS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST , ,+■ / ,� r / C ) CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST , / .% ' - 5i CHECK die _ l n IOU 0 Permit No._ - 3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 Registered Architect and /or Engineer Employing Electrician's Name ____ ___ _ • :6_ No. Street___., Location and Legal Description Lot___ _____________�_ Street and Number where work is to be performed —No Y r' __.__ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition .._______________________ Repairs Service Overhead Size Feeders__ -`_ Conduit__ Underground Type of Installation— Conduit Tubing Amount of Permit $ (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 No Street Main Sw ___ (Signed) B.X.L Metal Moulding Subdivision ____________________________ Street_ / � /7 z3 No. of Stories Amps. Main Fuses Amps. Electrical 1m(nector. rtify that be uncle ands and accepts his obligations as an em df labor Compiled Gen Laws of Florida Permanent Supplemen , and has com- from or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 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, 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. Notary Public. State of Florida Master Electrican. 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address "`��__— ef1 '� . `����G. ....c' No.______ —_ —__ —___ —_ Street Registered Architect and /or Engineer MIAMI SHORES VILLAGE Date__ .,/ r y J Gl 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. Employing Electrician's Name ____ sL �! ! et.' No.__ ____o___ ___�_______ Street___„ , l _ , _ ' �M__ Location and Legal Description Lot_ Block -- ____— ______ —___ Subdivision Street and Number where work is to be performed —No ,- �` •- ,° Street _.,,_ _ • —___ -- 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 Underground Type of Installation— Conduit Tubing —_ B.X.L Metal Moulding Amount of Permit $ (Signed) STATE OF FLORIDA, k COUNTY OF DADE. ss. (Signed) Amps. Main Fuses_ Amps. 9 7__ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h0 tyfiderstands and accepts his o g ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe nt 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 licensed by Miami Shores Village. 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. My Commission Expires Notary Public. State of Florida Master Electrican. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE ERM. MOTORS 0-1 HP' MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address "`��__— ef1 '� . `����G. ....c' No.______ —_ —__ —___ —_ Street Registered Architect and /or Engineer MIAMI SHORES VILLAGE Date__ .,/ r y J Gl 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. Employing Electrician's Name ____ sL �! ! et.' No.__ ____o___ ___�_______ Street___„ , l _ , _ ' �M__ Location and Legal Description Lot_ Block -- ____— ______ —___ Subdivision Street and Number where work is to be performed —No ,- �` •- ,° Street _.,,_ _ • —___ -- 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 Underground Type of Installation— Conduit Tubing —_ B.X.L Metal Moulding Amount of Permit $ (Signed) STATE OF FLORIDA, k COUNTY OF DADE. ss. (Signed) Amps. Main Fuses_ Amps. 9 7__ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h0 tyfiderstands and accepts his o g ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe nt 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 licensed by Miami Shores Village. 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. My Commission Expires Notary Public. State of Florida Master Electrican. 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 � 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 (/ � Street k/ r.. No Registered Architect and /or Engineer, Employing Electrician's Name ..,.{e _ * .. No ' 0 Street y�' lllr Location and Legal Description Lot Block Subdivision 4 Street - 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 No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ss. Metal Moulding (Signed) / Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he underst nds- and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen a' Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER *TRIP HISATER TOTAL CONTR. LIST 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. IST LIST CHECK Permit No � 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 (/ � Street k/ r.. No Registered Architect and /or Engineer, Employing Electrician's Name ..,.{e _ * .. No ' 0 Street y�' lllr Location and Legal Description Lot Block Subdivision 4 Street - 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 No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ss. Metal Moulding (Signed) / Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he underst nds- and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gen a' Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other PP Y PP P P g 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. Permit No MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address k' -.Lt /C...,l - ? No ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Employing Electrician's Name r. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /l 2 �� L . Street . c/ ` - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition �_.. c r Date... Street 'U .,.. No. .3 7 e r v - Street _ Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ se. e The undersigned applicant for this bui • • •ermit does hereby ce tify that he .nderstands and accepts his obligations as an a •yer of labor under the Florida Workmen's Compensation Act, being Section 5 ' .6, • .I ed General Laws of Florida Permanent Sup • ment, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / Master Electrician. STATE OF FLORIDA, 1. 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'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 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST fif " 3 CHECK Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other PP Y PP P P g 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. Permit No MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Owner's Name and Address k' -.Lt /C...,l - ? No ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Employing Electrician's Name r. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /l 2 �� L . Street . c/ ` - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition �_.. c r Date... Street 'U .,.. No. .3 7 e r v - Street _ Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ se. e The undersigned applicant for this bui • • •ermit does hereby ce tify that he .nderstands and accepts his obligations as an a •yer of labor under the Florida Workmen's Compensation Act, being Section 5 ' .6, • .I ed General Laws of Florida Permanent Sup • ment, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) / Master Electrician. STATE OF FLORIDA, 1. 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. BUILDING ELECTRIC PLUMBING ROOPTNG wow* Owner of Building Architect Contractor or Build Legal Description. Address of Building In consideration o pertaining thereto and i In accepting this pe 0 This permit is gfsanted to the contractor er bu herefor in strict compliance with all ordinances] per drawings, statements or specifications that may have time if the work is not done in compliance with such granted is the understanding that the co r pertaining to the work covered her done by his agents, servants or CONTRACTOR s PERMIT N? 14321 DER MI MI SHORES VILLAGE, FLORID ./6[ to be perfo r DAT Contractor's License No ed under this Permit Project • to onstruct the buildi with \the understand' and approved by the plans are changed ssumes the res ings or in named abov g " thereto een submitted r dinances or erl Sign this = hermit 1 a fire e plane, drawing or all work do or to install the equipment or device described in that the work will be performed in compliance oper municipal authorities. This Permit may be hout authorization. A further condition upon which sibility fo a thorough knowledg of the ordinances and woos cifications and that : e aee ear : °_ , er'bility for wort orm the work covered hereunder ance ements or specifications submitted to e proper au eitbej, myself my , servant or employee. BY AUTHORITY I I Amt. of i Permit 19 Ali d regulations ores Village. Subdi- vision Value of Protect Mama the budding or to install the the understanding that the work w E roved by the proper miniciptd ai - are the . authorisation, 7 or in the PIECilICAL PLIMBING Owner of Building Architect Contractor or Builder. n g� Des ri Address of Building TMs to berefor in scam ' .• ozhii al ft sP gnint# is the t ' elect in pmwg to the work covered done by We agents, smuts or In consideration of the issuance pertaining thereto and in std conformi In accepting this 'permit I assume resp <1 Permit No a ,1, Street and Number where work is to be performed —No 'V.a 0 State work to be performed and purpose of building (By Floors) STATE OF FLORIDA. ) 1 COUNTY OP DADS. MIAMI SHORES VILLAGE .�'"- -7-a�' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu: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 plans and specifications must be kept at building during progress of work. Owner's Name and Address V /1-7 4.A Registered Architect and /or Engineer V I; E)e riciafi N ne Gon and Zegal Lot No 4 '0' 1 " o /91. �4 G%/G�%z -73C- N / Block .:r ./ ryi -F. gY (Signed) Street �- £• 9 / its • Street 5 IBS? �9'Qa ;( Subdivision 57 , Street. ' New Building Remodeling Addition Repairs / No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground -- Type of Installation Conduit Tubing B.X.L .Metal Moulding otary Public, State of Florida Amount of Permit $ •� (Signed). e P\ `` Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Muter Electrician. ss. Before me, the undersigned au ty, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 1 �.."C..� . ....... ......... . 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 appl and that hga 'gn the same, and that all facts therein by him stated are true. NOTARY PUl3LUC. STATE nF FLOP.IDA. MY COii.i, :SSSIO;'J ' ' . , Ji1,'.c : e, 12,904 ^41.4. Jl4JEMECUTCiy,9 My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'7'S FIXTURES No. L REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H /1 / � �7 TOTAL CL LIST LIST //�� /m 4 , /// r el a^. CHECK Q� 1 ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO . TOTAL CONTR. LIST CHECK . <1 Permit No a ,1, Street and Number where work is to be performed —No 'V.a 0 State work to be performed and purpose of building (By Floors) STATE OF FLORIDA. ) 1 COUNTY OP DADS. MIAMI SHORES VILLAGE .�'"- -7-a�' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu: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 plans and specifications must be kept at building during progress of work. Owner's Name and Address V /1-7 4.A Registered Architect and /or Engineer V I; E)e riciafi N ne Gon and Zegal Lot No 4 '0' 1 " o /91. �4 G%/G�%z -73C- N / Block .:r ./ ryi -F. gY (Signed) Street �- £• 9 / its • Street 5 IBS? �9'Qa ;( Subdivision 57 , Street. ' New Building Remodeling Addition Repairs / No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground -- Type of Installation Conduit Tubing B.X.L .Metal Moulding otary Public, State of Florida Amount of Permit $ •� (Signed). e P\ `` Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Muter Electrician. ss. Before me, the undersigned au ty, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 1 �.."C..� . ....... ......... . 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 appl and that hga 'gn the same, and that all facts therein by him stated are true. NOTARY PUl3LUC. STATE nF FLOP.IDA. MY COii.i, :SSSIO;'J ' ' . , Ji1,'.c : e, 12,904 ^41.4. Jl4JEMECUTCiy,9 My Commission Expires 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.