749 NE 95 St (8)Il(y, M.IAMI SHORES VILLAGE
1 ELECTRICAL INSPECTION DEPARTMENT
1
APPLICATION FOR ELECTRICAL PERMIT
Permit
Amount of 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 `' _t Q Street
ss.
My Commission Expires
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision_______'___
0 W !J e /
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building V Remodeling Addition.. Repairs —___ No. of Stories
Service Overhead Size Feeders Conduit._________ Main Sw _____ Amps. __________ Main Fuses_______ — Amps.
Underground
Type of Installation— Conduit Tubing
/) j) ES /' °�—
L) - -
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.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
B.X.L Metal Moulding
(Signed)
Eledfrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors 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
\I -—
-- -- --- - - -- -- Master Electrican.
(Signed)
Date_
Notary Public. State of Florida
c
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
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'8
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
Il(y, M.IAMI SHORES VILLAGE
1 ELECTRICAL INSPECTION DEPARTMENT
1
APPLICATION FOR ELECTRICAL PERMIT
Permit
Amount of 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 `' _t Q Street
ss.
My Commission Expires
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision_______'___
0 W !J e /
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building V Remodeling Addition.. Repairs —___ No. of Stories
Service Overhead Size Feeders Conduit._________ Main Sw _____ Amps. __________ Main Fuses_______ — Amps.
Underground
Type of Installation— Conduit Tubing
/) j) ES /' °�—
L) - -
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.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly
B.X.L Metal Moulding
(Signed)
Eledfrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors 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
\I -—
-- -- --- - - -- -- Master Electrican.
(Signed)
Date_
Notary Public. State of Florida
c
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
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.
Amount of Permit $
tP
'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
Location and Legal Description Lot___
Street and Number where work is to be performed— No. ___1
State work to be performed and purpose of building (By Floors) /.
New Building v Remodeling Additio
My Commission Expires
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.
2
Block
2
Service Underground tze Feeders ! Conduit. �_1 S"__ Main Sw._ Il — Amps.
Type of Installation -- Conduit Tubing A______ B.X.L.______________.Metal Moulding
(Signed
�" T
etiy/i/C
StreeL--!J
Notary Public. State of Florida
Master Electrican.
Rcpairs No. of Stories 1
Main Fuses__.. Amps.
' r te'
(Signed)
`, 7
rElectrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors 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 FL ORIDA, �� �'C 15'
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
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 $ }'kOO 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
TS
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
/ /�
41
OU
CJ
/5 --
//
/
/
q
/
�3� /�
G
�,j
//
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
t -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
T
CHECK
Permit No.
Amount of Permit $
tP
'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
Location and Legal Description Lot___
Street and Number where work is to be performed— No. ___1
State work to be performed and purpose of building (By Floors) /.
New Building v Remodeling Additio
My Commission Expires
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.
2
Block
2
Service Underground tze Feeders ! Conduit. �_1 S"__ Main Sw._ Il — Amps.
Type of Installation -- Conduit Tubing A______ B.X.L.______________.Metal Moulding
(Signed
�" T
etiy/i/C
StreeL--!J
Notary Public. State of Florida
Master Electrican.
Rcpairs No. of Stories 1
Main Fuses__.. Amps.
' r te'
(Signed)
`, 7
rElectrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors 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 FL ORIDA, �� �'C 15'
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
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 $ }'kOO will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING ,
ELEG►. RICAL /
PLUMBING -J
Architect
Contractor
or Builder
Legal
Description
Lot
Owner of
Building
CONTRACTOR OR BUILDER•
MIAMI SHORES VILLAGE, FLORIDA
DATE L. 4: 0 .
PERMIT N? 4689
Work to be performed under this Permi
Bl.
Subdi-
vision
Contractor's
License No.
;o ff
1944
Address of Value of , • Amt of ' Se. .
Building • e ,. ? , Projec
This permit is granted to the contractor or builder named above to construct the building or to 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 thjt he assumes,respon-
sibilitp for work done by his agents, servants or employees. ,' r
Signed. o e c BY
INSPECTOR / "
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with dinances and eg11att�'pns
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoi•i�of Miami $ho s"VilYge.
In accepting this permit I assume responsibility. for all work done 17 either myself, my agent, servant or employee.
Permit •
BY t AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DATE M 7,44 194_
ELEC i ICAL Contractor's
License No.
PLUMBING
Work to be performed under this Permit % f ti _
Owner of
Building 4/7
Architect
Contractor
or Builder
Legal
Description
g
Lot
CONTRACTOR OR BUILDER
PERMIT N? 4691
Bl.
Address of
Value of Amt. of
Building V
r 1 � - p n Project Permit
This permit is granted to the cont 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. ••
Subdi-
vision
Signed. �.. 3�' i ♦ e By T
INSPECTOR , •
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with akqrdinances and g ns -�
pertaiiing thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoe of Miami Shos•�ge.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N2 4689
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of Value of Amt. of
Building Project 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 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.
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.
CONTRACTOR OR BUILDER BY AUTHORITY
194=
Contractor's
License No.
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 4691
Work to be performed under this Permit
Owner of
Building
DATE 194
Contractor's
License No
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of Value of Amt. of
Building Project 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 w th the understanding that the work wil 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.
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.
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
In consideration of
pertaining thereto and in
In accepting' permit I
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 4577
Work to be performed under this Permi
Owner of
Building �*
r'
Signed:
Legal Lot ... f r : Bl. Subdi-
Description vision
..
Building o
Address of * `� Project f r !` PAmt. erm of
it o' { ..
$
This permit is rante to the contractor or builder named above to construct the building or to install the a npment or device described in t appli-
g
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work NA
ill be performed in compliance th any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper munici A�furthen upon this
any time if the work is not done in compliance with such ordinances or if the plans are changed without authorizat
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a th orough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or S pecifications and that he assumes respon-
sibility for work done by his agents, servants or employees. A ' r
By f 1 L
Y !
BY
INSPEC WR
DATE
Con
Lice
ractor's
se No.
1
•
194_
strict conformity with this
the permit drawings, s, tat statements or work
ecifications submitted in Pjer authorities to the lop orities of Miami Shores n ores Village.
Y p g P P p
assume reespnsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
Permit No
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, 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 plans and specifications must be kept at
building during progress of work.
Owners Name and Address
Registered Architect and/or Engineer
// fmpl / in / Electrisia� / 10Ia / " �,
Locat an Description Lot.. ...............��...f.
Street and Number where work is to be performed —No 7
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition L Repairs No. of Stories
Type of Installation — Conduit Tubing
Amount of Permit $
N
STATE OF FLORIDA,
COUNTY OF DADE. I °s
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date r ( - G
My Commission Expires
MIAMI SHORES VILLAGE
0-t4 eD w /0
rq
No`9 y Street....
Block !o Subdivision in
(Signed) At tCWO J
(Signed)
No Y / Street.!// l �....a
Street.
Secures Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
B.X.L .Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 3966, 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 subcontractors, on work -to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
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.
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
NEATER
W. NEAT.
CONN.
SPACE
NEATER
STRIP
H
TOTAL
CONTR.
LIST
(
{/
(
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
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 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 plans and specifications must be kept at
building during progress of work.
Owners Name and Address
Registered Architect and/or Engineer
// fmpl / in / Electrisia� / 10Ia / " �,
Locat an Description Lot.. ...............��...f.
Street and Number where work is to be performed —No 7
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition L Repairs No. of Stories
Type of Installation — Conduit Tubing
Amount of Permit $
N
STATE OF FLORIDA,
COUNTY OF DADE. I °s
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date r ( - G
My Commission Expires
MIAMI SHORES VILLAGE
0-t4 eD w /0
rq
No`9 y Street....
Block !o Subdivision in
(Signed) At tCWO J
(Signed)
No Y / Street.!// l �....a
Street.
Secures Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
B.X.L .Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 3966, 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 subcontractors, on work -to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
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.
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 '16D ebi
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, 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. , f
Owner's Name and Address ...... toI" v , 57 `�"a", ` ? 7 f—Street / 4
Amount of Permit $
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or n ineerr/ f' 1.
3 � nploying Ele icia 's Aia . . //1 e ... / ( .4�.q No 5 V 444. ...Street
�< �t5 7 u
/ p
Location an d L g al Description Lot.. /.'!7. ./ ` //ti Block.. S bd' ' ' . 3144-e/
Street and Number where work is to be performed —No �y.... /`i•g
State work to be performed and purpose of building (Byjloors)
AckdeiPT
New Building Remodeling 4, ' Addition
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing......... B.X.L Metal Moulding
(Signed)
(Signed)
Date
Street
1G Ot/ No. o
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 wont to b and thi. .er° it, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I °''
Before me, the undersign efi authority, a notary public, duly authorized 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
therein by him stated are true.
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. APR 18,1989
BONDED PiR4-- 6ENERAt:- '
My Commission :i5ires
on
Notary Public, State of Florida
the same, and that all facts
NOTE: A re-inspection fee of $1.00 will he made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship. -
SWITCH
0
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. MEAT.
CONN.
SPACE
NEATER
STRIP
M
TOTAL
CONTR.
LIST
/ /
, f
/
,
/
_9f 5
CHECK
0
ENT.
SW.
DIRT.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTOR RS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No '16D ebi
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, 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. , f
Owner's Name and Address ...... toI" v , 57 `�"a", ` ? 7 f—Street / 4
Amount of Permit $
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Registered Architect and /or n ineerr/ f' 1.
3 � nploying Ele icia 's Aia . . //1 e ... / ( .4�.q No 5 V 444. ...Street
�< �t5 7 u
/ p
Location an d L g al Description Lot.. /.'!7. ./ ` //ti Block.. S bd' ' ' . 3144-e/
Street and Number where work is to be performed —No �y.... /`i•g
State work to be performed and purpose of building (Byjloors)
AckdeiPT
New Building Remodeling 4, ' Addition
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing......... B.X.L Metal Moulding
(Signed)
(Signed)
Date
Street
1G Ot/ No. o
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 wont to b and thi. .er° it, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I °''
Before me, the undersign efi authority, a notary public, duly authorized 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
therein by him stated are true.
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. APR 18,1989
BONDED PiR4-- 6ENERAt:- '
My Commission :i5ires
on
Notary Public, State of Florida
the same, and that all facts
NOTE: A re-inspection fee of $1.00 will he made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship. -