776 NE 95 St (7)P e r m i t ci
o ..... .. .....
MllAWN sHnnEs VOLLAGE
ELECTRICAL CTRIC/ L INSPECTION
[EPAIRTWJ[ENT
E LOC ATO N F o G3 C IBC CTG°3OCAL FIER 1 OT
Date 7-2 2 f -
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 deocribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio.ida,
and all provision° of the Laws of the State of Florida, all ordinances of Miami Shores Village and all ruleo and regulation° of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and opecifications muot be kept at
building during progress of work.
Owner'o Name and AddressE1 L R T .. ,} Rs' y N / o .. ..f 74 iv . Stet-.... -. 9'A
!/
Registered Architect and /or Enginee 2Lii 1. ORs') C 1 £ (" E d
Employing Electrician's Name.CAMrl% E 1,.- E.1-kec.. /N.. .i.....Noi /2(.. .W. . _Street ...A .. 1 19-M 1 3 a.. /.s
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No ! 7 t ... rl.t?. . dL s .S Street
State work to be performed and purpose of building (By Floors)..../
New Building Remodeling Addition b Repairs No. of Stories
Sz Overhead Site Feeders
Underground
Type of Installation — Conduit
STATE OP FLORIDA, }
COUNTY OF DADE.
Conduit Main Sw Ampa Main Fuses Amps
Tubing B.X.L S .Metal Moulding
, 6..S riN -//- 7, A
Amount of Permit S (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he underatanda and accepts his obligations as an employer of
labor under the Florida Workmen'o 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 oub-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
licanoed by Miami Shores Village.
(Signe
Master Electrician.
ao.
Before me, the undersigned authority, a notary public, duly authorized to administer oath° and take acknowledgment°, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and say° that he is the
of the above described conotruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facto
therein by him stated are true.
My Commission Estpire° Notary Public, State of Florida
NOTE: A re.inspection fee of 51.Q0 will be made when ouch re•inapection is made necessary by improper notice for inspection, or faulty
material° and /or workmanship.
SWITCH
OUTLETO
LIGHT
OUTLETS
PLUG
RECE'P'T'O
FIXTURES
NO. LAMPO
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONK.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIOT
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
'MOTORS
0.1 HP
MOTORO
1•13 HP
NEON
TRANS.
RADIO
TOTAL
Comm.
LIOT
.(
/
- — -
- - -
- - -
�+qy
• �!
CNECR
-
- - - - -
- - - -
- - -
P e r m i t ci
o ..... .. .....
MllAWN sHnnEs VOLLAGE
ELECTRICAL CTRIC/ L INSPECTION
[EPAIRTWJ[ENT
E LOC ATO N F o G3 C IBC CTG°3OCAL FIER 1 OT
Date 7-2 2 f -
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 deocribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio.ida,
and all provision° of the Laws of the State of Florida, all ordinances of Miami Shores Village and all ruleo and regulation° of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and opecifications muot be kept at
building during progress of work.
Owner'o Name and AddressE1 L R T .. ,} Rs' y N / o .. ..f 74 iv . Stet-.... -. 9'A
!/
Registered Architect and /or Enginee 2Lii 1. ORs') C 1 £ (" E d
Employing Electrician's Name.CAMrl% E 1,.- E.1-kec.. /N.. .i.....Noi /2(.. .W. . _Street ...A .. 1 19-M 1 3 a.. /.s
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No ! 7 t ... rl.t?. . dL s .S Street
State work to be performed and purpose of building (By Floors)..../
New Building Remodeling Addition b Repairs No. of Stories
Sz Overhead Site Feeders
Underground
Type of Installation — Conduit
STATE OP FLORIDA, }
COUNTY OF DADE.
Conduit Main Sw Ampa Main Fuses Amps
Tubing B.X.L S .Metal Moulding
, 6..S riN -//- 7, A
Amount of Permit S (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he underatanda and accepts his obligations as an employer of
labor under the Florida Workmen'o 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 oub-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
licanoed by Miami Shores Village.
(Signe
Master Electrician.
ao.
Before me, the undersigned authority, a notary public, duly authorized to administer oath° and take acknowledgment°, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and say° that he is the
of the above described conotruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facto
therein by him stated are true.
My Commission Estpire° Notary Public, State of Florida
NOTE: A re.inspection fee of 51.Q0 will be made when ouch re•inapection is made necessary by improper notice for inspection, or faulty
material° and /or workmanship.
g
'Permit No
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
'c
3 • f 7 ELIECTG OCAL U6`.1SPECTOOIr� DEPARTMENT'
r AFI�JOCAT0 o N O° 003 C f�C C.�TG OCAL= pC G3G`e'lOT
/ `7 l ! P z- �- — `7 4°�
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provision° of the Lawo of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation° of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and opecsficationa must be kept at
building during progress of work.
i-6-(-10 A' ff
Owner'o Name and Address. .t . t X11 i • . 4 • ' r$ Li V No T N`G' Street C� S
Registered Architect and /or Engineer
Employing Electrician's Name. .ba "1M4' LE1-1 -RIG
lion ` and Legal Description Lot Block
Scree id Number where work is to be performed —No 71 (a i) E
ate work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
X10 °,WN SHORES VLLAME
t7
................
(Signed)
(Signed)
No 1212
Street
Street 4 2 T t 1"
Subdivision
Repairs No. of Stories
Size Feeders a l O Conduit 2 Main Sw 2 U Amps Main Fuses Amps
erground
Type of Installation
Tubing B.X.L Metal Moulding
Electrical Inopector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o mgations as an employer of
labor under the Florida Workmen'o Compensation Act, being Section 5966, Compiled General Laws of Florid Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub -co ctors 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 v to be perforn2g under this permit, as are
lioznoed by Miami Shores Village.
rioter Electrician.
so.
Before me, the underaigned authority, a notary public, duly authorised to adminioter oath° and take acknowledgmento, personally
appeared
to me well known, and who, being by me firat duly morn, upon oath deposes and say° that he io the
of the above described construction, and he has carefully read the foregoing application, and that he did aign the same, and that all facto
therein by him otated are true.
My Commiooion Empire° Notary Public, State of Florida
NOTE: A re•inapection fee of 51.00 will be made when ouch re- inspection io made neceooary by improper notice for inspection, or faulty
material° and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
R ECE •P'T'O
FIXTURES
NO LAMPS
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
AN. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
1
` D
14
6
0
0
O
0
0
0
0
'5 h+
CNECR
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORO
1.8 MP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LOT
LIST
700 A
?o I
2 To�.1
CHECR
g
'Permit No
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
'c
3 • f 7 ELIECTG OCAL U6`.1SPECTOOIr� DEPARTMENT'
r AFI�JOCAT0 o N O° 003 C f�C C.�TG OCAL= pC G3G`e'lOT
/ `7 l ! P z- �- — `7 4°�
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provision° of the Lawo of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation° of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and opecsficationa must be kept at
building during progress of work.
i-6-(-10 A' ff
Owner'o Name and Address. .t . t X11 i • . 4 • ' r$ Li V No T N`G' Street C� S
Registered Architect and /or Engineer
Employing Electrician's Name. .ba "1M4' LE1-1 -RIG
lion ` and Legal Description Lot Block
Scree id Number where work is to be performed —No 71 (a i) E
ate work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
X10 °,WN SHORES VLLAME
t7
................
(Signed)
(Signed)
No 1212
Street
Street 4 2 T t 1"
Subdivision
Repairs No. of Stories
Size Feeders a l O Conduit 2 Main Sw 2 U Amps Main Fuses Amps
erground
Type of Installation
Tubing B.X.L Metal Moulding
Electrical Inopector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o mgations as an employer of
labor under the Florida Workmen'o Compensation Act, being Section 5966, Compiled General Laws of Florid Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub -co ctors 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 v to be perforn2g under this permit, as are
lioznoed by Miami Shores Village.
rioter Electrician.
so.
Before me, the underaigned authority, a notary public, duly authorised to adminioter oath° and take acknowledgmento, personally
appeared
to me well known, and who, being by me firat duly morn, upon oath deposes and say° that he io the
of the above described construction, and he has carefully read the foregoing application, and that he did aign the same, and that all facto
therein by him otated are true.
My Commiooion Empire° Notary Public, State of Florida
NOTE: A re•inapection fee of 51.00 will be made when ouch re- inspection io made neceooary by improper notice for inspection, or faulty
material° and /or workmanship.
M AMO SHORES VOLLAGE
ELECTRICAL INSPECTION DEPARTMENT
AFFILOCQTOON Fos ELECT zOCAL PERM
Permit No ��7) 7 Date
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 Miarni 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. y y
Owner's Name and Address A / /' �17 c e cos O h No -/ / 6
Registered Architect and /or EnfinetRic U•�I�9J I �U� I I
Employing Electrician's Name LL
Street and Number where work is to be performed —No
Street
INC., OF No 6 /6"
Street /E--,2 = al A '
Location and Legal Description Lot Block Subdivision
7 7 4/4
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
STATE OF FLORIDA, }
COUNTY OF DADE.
88.
(Signed).
J
Amount of Permit $ (Signed)
a` 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 wor to be performed under $ is permit, as are
licensed by Miami Shores Village.
,77z
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.
SW ITCH
OUTLETS
LIGHT
OUTLETO
PLUG
RECE'P'T's
FIXTURES
NO. LAMPS
PRM
RITO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
^ STRIP
HEATER
TOTAL
CONTR.
LIDT
CHECK
e
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I•S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIoT
CH ECK
M AMO SHORES VOLLAGE
ELECTRICAL INSPECTION DEPARTMENT
AFFILOCQTOON Fos ELECT zOCAL PERM
Permit No ��7) 7 Date
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 Miarni 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. y y
Owner's Name and Address A / /' �17 c e cos O h No -/ / 6
Registered Architect and /or EnfinetRic U•�I�9J I �U� I I
Employing Electrician's Name LL
Street and Number where work is to be performed —No
Street
INC., OF No 6 /6"
Street /E--,2 = al A '
Location and Legal Description Lot Block Subdivision
7 7 4/4
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
STATE OF FLORIDA, }
COUNTY OF DADE.
88.
(Signed).
J
Amount of Permit $ (Signed)
a` 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 wor to be performed under $ is permit, as are
licensed by Miami Shores Village.
,77z
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.
1imaLDING
ELECTRICAL
PLUMBING
Owner of
Building
PERMIT N? 4763
Work to be performed under this Permit
Architect
Contractor '/
or Builder ,< l�� / 7
Legal Lot 4
Description -, it
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE 9,- >42 194
Contractor's
License No.
r <) R
BI. Subdi-
vision ^ , a ✓?
Value of Amt. of p
Project Permit
•r
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 • - plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
11
Signed:
IP
In consideration of the issuance to me of this pe y` I .14 ee to perform the work covered hereunder in compliance with 4 inances a re��ua s
pertaining t reto and in strict conformity with the pia s, d : ings, statements or specifications submitted to the proper authori t f Miami Slores `Vill�ge.
In accepi} this permit assume responsibility for all work done by either myself, my agent, servant or employee.
fV
CONTRACTOR OR BU Y.ER BY
0 B
INSPECTO
AUTHORITY
Permit No.
Amount of Permit $
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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.
Registered Architect and /or Engineer
MIAMI SHORES VI LLAI E
My Commission Expires
ELECTRICAL INSPECTION DEPARTMENT
Service O verhea d Size Feeders_
Type of Installation— Conduit Tubing
/
r -
r
1,-- No.
Street and Number where work is to be performed —No
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.
Employing Electrician's Name ______
Location and Legal Description Lot r __Block
State work to be performed and purpose of building (By Floors) _ -1'
New Building V Remodeling
Conduit.A— Main Sw.__�= _ _.�,_ Amps.
B.X.L. .Metal Moulding
(Signed)
(Signed)
Date__ _._L�
Notary Public. State of Florida
n
Street__
Street
Addition Repairs _.___ No. of Stories
Main Fuses_ _.._ Amps.
A
L
Electrical 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
aster Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is t he ____. ______M___�______________�_____
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'B
FIXTURES
NO. LAM PS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
i
� �
C=
��
!'
•
B
CHECK
/ 5
/ /
g 4
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.
Amount of Permit $
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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.
Registered Architect and /or Engineer
MIAMI SHORES VI LLAI E
My Commission Expires
ELECTRICAL INSPECTION DEPARTMENT
Service O verhea d Size Feeders_
Type of Installation— Conduit Tubing
/
r -
r
1,-- No.
Street and Number where work is to be performed —No
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.
Employing Electrician's Name ______
Location and Legal Description Lot r __Block
State work to be performed and purpose of building (By Floors) _ -1'
New Building V Remodeling
Conduit.A— Main Sw.__�= _ _.�,_ Amps.
B.X.L. .Metal Moulding
(Signed)
(Signed)
Date__ _._L�
Notary Public. State of Florida
n
Street__
Street
Addition Repairs _.___ No. of Stories
Main Fuses_ _.._ Amps.
A
L
Electrical 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
aster Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is t he ____. ______M___�______________�_____
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 .....
i.�{:l.�?
Street and Number where work is to be performed —No
`C
Amount of Permit $
WHQ E1 SH GEES M LLAC C
IELIECTIR OCAL INSI'IECTION DEPARTMENT
AFFLECATI1 N F o R CLL CT RilCAL IBC RMDT
D
776
New Building Remodeling Addition
(Signed)
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarni Shores Village, Flu: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 . -.C: 62 — No TX Street
Registered Architect and /or Engineer
E - pp �/J
/6 -NX6+e .No /c- . &
Employing Electrician's Name. (4)1
Location and Legal Description Lot Block Subdivision
Street... ...
service Overhead Size Feeders Conduit Main Sw Amps Main Fuses
Underground
7/1
Street
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amps
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has 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.
Master Electrician.
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 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•8
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LICIT
CNIICR
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1.9 HP
NEON
TRANS.
(RADIO
TOTAL
CONTR.
LIST
3
CHECK
Permit No .....
i.�{:l.�?
Street and Number where work is to be performed —No
`C
Amount of Permit $
WHQ E1 SH GEES M LLAC C
IELIECTIR OCAL INSI'IECTION DEPARTMENT
AFFLECATI1 N F o R CLL CT RilCAL IBC RMDT
D
776
New Building Remodeling Addition
(Signed)
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miarni Shores Village, Flu: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 . -.C: 62 — No TX Street
Registered Architect and /or Engineer
E - pp �/J
/6 -NX6+e .No /c- . &
Employing Electrician's Name. (4)1
Location and Legal Description Lot Block Subdivision
Street... ...
service Overhead Size Feeders Conduit Main Sw Amps Main Fuses
Underground
7/1
Street
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amps
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has 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.
Master Electrician.
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 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.