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925 NE 95 StPermit No .. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. o cC c4\ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT c=‘ APPLICATION FOR ELECTRICAL PERMIT .?)( Application is hereby made f r the approval of the detailed statement of the plans and specifications herev4sub e B \ structure herein described. This application is made in compliance and conformity with the Building Ordinance of hores and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regIf oritia1 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must building during progress of work. ^ L Owner's Name and Address No Street Registered Architect and/or Engineer Employing Electrician's Name .27i ' G Location and Legal Description Lot ,-, • ,. Block Subdivision.. Street and Number where work is to be performed—No 2_ .1) Street: ?') 2 / \ State work to be performed nd purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead Service und Site Feeders Conduit Main Sw Amps Main Fuses Amps Undergro Type of Installation—Conduit Tubing B.X.L Jvfta1 Moulding S S. No The undersigned applicant for this building permit does hereby cert y that he labor under the Florida Workmen's Compensation Act, being Section 59.6, Comp has complied with the provisions thereof, and will require similar com ph Date Street c \ \AC /Electric Inspector. derstands and accepts his &figations as an employer of d General Laws of Florida Permanent Supplement, and m 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. (Signed). /A 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, r 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 / /() Y / 0 / 1 --. 8 Ae HECK r --- I) , --4, ENT. SW... DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-I HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL (,,..-■ , --)) CONTR. LIST , CHECK Permit No .. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. o cC c4\ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT c=‘ APPLICATION FOR ELECTRICAL PERMIT .?)( Application is hereby made f r the approval of the detailed statement of the plans and specifications herev4sub e B \ structure herein described. This application is made in compliance and conformity with the Building Ordinance of hores and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regIf oritia1 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must building during progress of work. ^ L Owner's Name and Address No Street Registered Architect and/or Engineer Employing Electrician's Name .27i ' G Location and Legal Description Lot ,-, • ,. Block Subdivision.. Street and Number where work is to be performed—No 2_ .1) Street: ?') 2 / \ State work to be performed nd purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead Service und Site Feeders Conduit Main Sw Amps Main Fuses Amps Undergro Type of Installation—Conduit Tubing B.X.L Jvfta1 Moulding S S. No The undersigned applicant for this building permit does hereby cert y that he labor under the Florida Workmen's Compensation Act, being Section 59.6, Comp has complied with the provisions thereof, and will require similar com ph Date Street c \ \AC /Electric Inspector. derstands and accepts his &figations as an employer of d General Laws of Florida Permanent Supplement, and m 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. (Signed). /A 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, r materials and/or workmanship. :UILDING - ECTRICAL PLUMBING ❑ ,i0OFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11254 ❑ Work to be performed under this Permit vAiss CONTRACTOR OR BUILDER Subdi- vision Value of Project $ 1 DATE____, p ,1 4.; 195. Contract License No This permit is grated to the contractor or builder named above to cq struct the building or to install the equipment or device described in the action herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plus, drawings, statements or specifications that may have been submitted t' 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 assume - %responsibility for work done by his agents, servants or employees. Signed. OR V J' In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in cafnpliance 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. BY AUTHORITY Permit No 0 1 MMW SF11 ❑ IES VELLAGE ELECTRIC L INSPECTION DEPARTMENT QPPLDC'AT11 0 N F 0 C LI CCTV D AL FIE ! M 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 aG f'll.� �1��1rZ A. Registered Architect and /or Engineer Employing Electrician's Name "/"ifr A � G No y 20 Location and Legal Description Lot Block Street and Number where work is to be performed —No No._........ 9G3 - Street ..4 "k Date Street Subdivision Street c �� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories ,le 2f 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 $ (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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OP FLORIDA, - COUNTY OF DADE. IT SS. (Signed 2 aster 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 DEFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.9 HP N EON TRANS. RADIO TOTAL CONTR. LIST u CHECK �f / — Permit No 0 1 MMW SF11 ❑ IES VELLAGE ELECTRIC L INSPECTION DEPARTMENT QPPLDC'AT11 0 N F 0 C LI CCTV D AL FIE ! M 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 aG f'll.� �1��1rZ A. Registered Architect and /or Engineer Employing Electrician's Name "/"ifr A � G No y 20 Location and Legal Description Lot Block Street and Number where work is to be performed —No No._........ 9G3 - Street ..4 "k Date Street Subdivision Street c �� State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories ,le 2f 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 $ (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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OP FLORIDA, - COUNTY OF DADE. IT SS. (Signed 2 aster 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.