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ELECTRICALAPPLICATION FOR ELECTRICAL PERMIT Permit No._ _ 7,1/ Date ? '' 4 Z 1 _ 4 1_ 1 _. 6 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 k -� 0 d 0 L " J::�:l _ _ _ _ No. Street Registered Architect and /or Engineer rI No 11 b 5 . ��- --= �_ —_ -_ • St reet_ ____-- �s:4-� _— _____.___ Employing Electrician's Name Location and Legal Description Lot___ Block_ 6 7 __ _____ Subdivision_ 1'" e» ° L l0%l Street and Number where work is to be performed— No. ___— 7 State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition . Repairs Servi Overhead Size Feeders___________ Conduit__ i' li Main S w.__ —(? V _ A mps. Main Fus Underground Type of Installation — Conduit_______ ___ Tubing X B.X.L. Metal Moulding pp et, Electrical Inspector. The undersigned applicant for this building permit does hereby certify that be unde tands and accepts his •ligation 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 ork to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) Street No. of Stories aster Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. 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. 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 O UTL t ETS LIGHT O UTLETS PLUG RECE'P'T'S FIXTURES N O. LAM PS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. 1/ ry 1 18 17 1 1 1 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 FOR ELECTRICAL PERMIT Permit No._ _ 7,1/ Date ? '' 4 Z 1 _ 4 1_ 1 _. 6 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 k -� 0 d 0 L " J::�:l _ _ _ _ No. Street Registered Architect and /or Engineer rI No 11 b 5 . ��- --= �_ —_ -_ • St reet_ ____-- �s:4-� _— _____.___ Employing Electrician's Name Location and Legal Description Lot___ Block_ 6 7 __ _____ Subdivision_ 1'" e» ° L l0%l Street and Number where work is to be performed— No. ___— 7 State work to be performed and purpose of building (By Floors) New Building X Remodeling Addition . Repairs Servi Overhead Size Feeders___________ Conduit__ i' li Main S w.__ —(? V _ A mps. Main Fus Underground Type of Installation — Conduit_______ ___ Tubing X B.X.L. Metal Moulding pp et, Electrical Inspector. The undersigned applicant for this building permit does hereby certify that be unde tands and accepts his •ligation 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 ork to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) Street No. of Stories aster Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. 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. 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. L9' a 61_ / �,ro Block Subdivision Noe Street ner ' s 2 Namo , ( / 1/0:(.0 / )i Geineral Contractor Zone Req.Cu.Ft. 1 60 Cu•Cont. Plat Restriction Checked by (;//i ��� To Planning Board 67/ 1( Approved Rejected Re- Submitted to P.B. Approved Rejected Plans & Spec. Checked by � P �; a 0 To Council Approved Rejected Bldg. Permit No. V2 01 Date �� /'/,' Fee /� ' �G Cost //0/216 Y Type A 1) o t( Stories / Roof /,� I New Construction Alterations Plumbing Permit No. Date Septic Tank 11 Sewer 11 Misc +l 11 New Const. Alteration electrical Permit No.� Date Fixtures Heater 11 Motors Misc ►1 New Construction 11 ►1 _ _ __ Alteration Repairs Building Inspection e / :r By Re: -insp By Re -Insp By Foundation , L / Beams & Lintels �:_;' " i ,, �J �� , 1 Final '' , Final Clean -Up Plumbing Inspection Roughing ' �!l "�% �./z /- Fixtures // • Sower Septic Tank Solar Heater Final Certificate Eyactrinal Inspect ion Date ' y Roug. ing " / ¢ Fixtures 1/ / \I , Final imp 0 K - Cert0Occun.Tssued '/ .service O.K. to Power Co. Date By Re -insp By Re -Insp By Lic.No. Lic.No. Add. or Phone Add. or Phone 0 f B Repairs Fee PI 11 11 Repairs Fee I► 11 ►► 11 Re- Rsp By Re -Insp By BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contracto == or Builder • Legal Lot d' )y 2- Description MIAMI SHORES VILLAGE, FLORIDA DATE ' PERMIT N° 49.2.2- - - License No. J ' Work to be performed under this Permit , Subdi- vision Contractor's Amt. o F ri Permit / f / 19"i 6 Value of Address of `� ce a j �' �' Project Building , i This permit is granted to the contractor o 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 jhorough 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. e';,:' „. ¢� ,' -7'. Signed. d • e By y R Iwconsideration of the issuance to me of this permit I agree to perform the work cover hereunder in compliance witkalf,Rrdinances and., pertaining thereto and in-strict conformity with the plans, drawings, statements or specifications submitted to the proper authori6e§ of Miami Shores' Village. In aecej ting this permit I assurAe responsibility for ?ll work done by either myself, my agent, servant or employee. BY CONTRACTOR OR BUILDER k AUTHORITY BUILDING ELECTRICAL PLUMBING Work to be performed under this Permit Owner of 4 ` . Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N2 4922 lC Bl. Subdi- vision Contractor's License No. t Value of Amt. of Project Permit l` 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 a work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No (3 APPL➢C T1 '!.NI FCIR ELECTR MAL PERMIT Date 7— " 7 / MIAMI SHORES VOLLAGE ELECTRICAL INSPECTION DEPARTMENT 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. Q Owner's Name and Address ' ` 04/14 T l 4 "A No Street Registered Architect and /or Engineer Employing Electrician's Name S. 0 - 1'hf 77t , -c• ec'. r H- < No - 2 - 1 - i f Street 7 ST Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 7 G C Street H/. S'5 S'7 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories r e Amps I/ �• Service Overhead Si Feeders _...1 Fr C 7 - Main Sw Amps Main Fuses Am i l r P P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) Electrical Inspector. 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 bi' me first duly sworn, upon oath deposes and says that he is the of the above described construction, nd he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. i 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. Master Electrician. 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 NEON 1.5 HP TRANS. RADIO TOTAL CONTR. LIST /3 " f- 4 .v4/ CHECK Permit No (3 APPL➢C T1 '!.NI FCIR ELECTR MAL PERMIT Date 7— " 7 / MIAMI SHORES VOLLAGE ELECTRICAL INSPECTION DEPARTMENT 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. Q Owner's Name and Address ' ` 04/14 T l 4 "A No Street Registered Architect and /or Engineer Employing Electrician's Name S. 0 - 1'hf 77t , -c• ec'. r H- < No - 2 - 1 - i f Street 7 ST Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 7 G C Street H/. S'5 S'7 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories r e Amps I/ �• Service Overhead Si Feeders _...1 Fr C 7 - Main Sw Amps Main Fuses Am i l r P P Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) STATE OF FLORIDA, } COUNTY OF DADE. ss. (Signed) Electrical Inspector. 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 bi' me first duly sworn, upon oath deposes and says that he is the of the above described construction, nd he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. i 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. Master Electrician.