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930 NE 95 St (10)Permit No State work to be performed and purpose of building (By Floors) Amount of Permit $ `Awl 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 of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or E�ng err Employing Electrician 's Name / ((� r �� � � " �w c No Location and Legal Description Lot (Signed) No 9/0/ Date Street. edati 1 Street...?;-" O f=1Gt ( 1\11'67. Street ® �� Subdivisio,�. eif Block 95'° t/ Street and Number where work is to be performed —No New Building Remodeling Addition Repairs No. of Stories (Signed) Is) _\j.N. Cb`i .L Electrical Inspector. t Arc' ecv Service � Feed rs Conduit Main Sw Amps Main Fuses Amps Unndd ergrougrow nd Type of Installation -- Conduit Tubing ' B.X.L Metal Moulding 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 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 contractor on work to be ormed under this permit, as are licensed by Miami Shores Village. i Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I 5 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG REcEE'P'1 FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST �i d CHICK 4.N. ...$D 3.60 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM �/!'/A/ //�� d 41 MOTORS O.1 HP MOTORS N EON TRANS. 1.B HP TRANS. / -/ %e/ ' RADIO - TOTAL CONTR. LIST Q CHECK - ^/�' / y G 1 S Permit No State work to be performed and purpose of building (By Floors) Amount of Permit $ `Awl 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 of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or E�ng err Employing Electrician 's Name / ((� r �� � � " �w c No Location and Legal Description Lot (Signed) No 9/0/ Date Street. edati 1 Street...?;-" O f=1Gt ( 1\11'67. Street ® �� Subdivisio,�. eif Block 95'° t/ Street and Number where work is to be performed —No New Building Remodeling Addition Repairs No. of Stories (Signed) Is) _\j.N. Cb`i .L Electrical Inspector. t Arc' ecv Service � Feed rs Conduit Main Sw Amps Main Fuses Amps Unndd ergrougrow nd Type of Installation -- Conduit Tubing ' B.X.L Metal Moulding 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 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 contractor on work to be ormed under this permit, as are licensed by Miami Shores Village. i Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I 5 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 3z5 ... / so -7 S d 0 - APPLICATION FOR ELECTRICAL PERMIT Permit No ? _ Application .e 1 made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structur• ere' scribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and atl • is on st e-1,4aaz of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of M' :' S res Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at buildi ' uri g progress of work. 7 -C%-i - e Owne Name and Address ,l �_ � t- '� No ".1` S treet_�___� ? _ r ' _ —. Employing Electrician's Name 1 �_ ' <<•G� -t°' —c ' -� No _ f ` _,___ Stree — C7 Registered Architect and /or Engineer Location and Legal Description Lot Street and Number where work is to be performed —No State work to be erformed and purpose of building / be performed P P g ($y Floors) _ -! ' —__� -�_f_ New Building_ Remodeling Addition Repairs_ Service Overhead Size Feeders: /____ Conduit /. _— Main Sw.<_ P __ Amps. Main Fuses/ Amps. "____ Am Underground P Type of Installation— Conduit ✓ Tubing ✓ _ —_ B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, ) COUNTY OF DADE. J �' i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires Block G Street - - - `—f (Signed) (Signed) Date a z Subdivision_ 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath - deposes and says that he is the_ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida No. of Stories____/ _____ NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUT IGHT OUTLETS PLUG RECE'P' 'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL _ZZL 30C -'S / 4 oa 0 _ / ■ / 757 / / • o c. 56 S ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. rr ``��ss maTO • 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CLI LIST / / - �7-p� ,✓ °� - /�_ �/ CHECK y/ / -La" .0o • gO 3z5 ... / so -7 S d 0 - APPLICATION FOR ELECTRICAL PERMIT Permit No ? _ Application .e 1 made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structur• ere' scribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and atl • is on st e-1,4aaz of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of M' :' S res Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at buildi ' uri g progress of work. 7 -C%-i - e Owne Name and Address ,l �_ � t- '� No ".1` S treet_�___� ? _ r ' _ —. Employing Electrician's Name 1 �_ ' <<•G� -t°' —c ' -� No _ f ` _,___ Stree — C7 Registered Architect and /or Engineer Location and Legal Description Lot Street and Number where work is to be performed —No State work to be erformed and purpose of building / be performed P P g ($y Floors) _ -! ' —__� -�_f_ New Building_ Remodeling Addition Repairs_ Service Overhead Size Feeders: /____ Conduit /. _— Main Sw.<_ P __ Amps. Main Fuses/ Amps. "____ Am Underground P Type of Installation— Conduit ✓ Tubing ✓ _ —_ B.X.L. Metal Moulding Amount of Permit $ STATE OF FLORIDA, ) COUNTY OF DADE. J �' i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires Block G Street - - - `—f (Signed) (Signed) Date a z Subdivision_ 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath - deposes and says that he is the_ of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida No. of Stories____/ _____ NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __J Registered Architect and /or Engineers -- Employing Electrician's Name Location and Legal Descripti Lot Street and Number where work is to be performed —No State work to b .pperformed and purpose of building (By Floors) !__— __!"_ New Building_ • Remodeling Addition Repairs Service Overhead Size Feeders Conduit.___ ___ Main Sw.___ —_ Amps. Main Fuses Amps. Underground - -- Type of Installation - Conduit Tubing —__ B.X.L. Metal Mouldi Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss' APPLICATION FOR ELECTRICAL PERMIT Date / 6 '" 1-74- L Cf My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No. _CZ Street °? 0 15f_ ubdivision_ (Signed) (Signed - — — Street__- - - - No. of Stories_ ___/ E ectrical Ins. or. 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 com plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to b performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida ster 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 the_______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 PLUG OUTLETS - E'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANG CON WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST CHECK I �'���� Ii�� // / • ENT. SW. DIST. CAB. SERVIC TEMP. SERVICE PERM. MOTORS 0-1 HP M OTORS 1 -3 HP N EON TRANS. RAOIO 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 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 __J Registered Architect and /or Engineers -- Employing Electrician's Name Location and Legal Descripti Lot Street and Number where work is to be performed —No State work to b .pperformed and purpose of building (By Floors) !__— __!"_ New Building_ • Remodeling Addition Repairs Service Overhead Size Feeders Conduit.___ ___ Main Sw.___ —_ Amps. Main Fuses Amps. Underground - -- Type of Installation - Conduit Tubing —__ B.X.L. Metal Mouldi Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss' APPLICATION FOR ELECTRICAL PERMIT Date / 6 '" 1-74- L Cf My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No. _CZ Street °? 0 15f_ ubdivision_ (Signed) (Signed - — — Street__- - - - No. of Stories_ ___/ E ectrical Ins. or. 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 com plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to b performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public. State of Florida ster 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 the_______ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. UILDING LECTRICAL 'LUMBING )weer of : uilding _rchitect �!U Lot Bl. MIAMI SHORES VILLAGE, FLORIDA AA 7 DATE ERMIT N? 8472 Work to be performed under this Permit /fir L t c c.) ] ontractor r Builder _ .egal )escription ddress of uilding _ This permit is r �. to th e contractor or b tion herefor in strict compliance with all ordinanc Tans, drawings, statements or specifications that m er named abov pertaining thereto have been submitt any time if the work is not done in compliance ith such ordinances or if the ermit is granted is the understanding that the contractor or builder named abo : gulations pertaining to the work covered hereby whether shown on the plans bility for work done by his agents, servants or employees Signed• Subdi- vision Value of Project struct the building with the pulp eta to and ..roved by t e ans are changed wi ssumes the respons" awings or in BY /0//jA) 5 / INS 'v `OR Contractor's License No. c CAL Amt. of Permit 194 or to install the equipment or device described in the appli- that the work will be performed in compliance with any er municipal authorities. This Permit may be revoked t authorization. A further condition upon which this ility for thorough knowledge of the ordinances and that he sumes respon- In consideration of the issuance to iite -1„ his permit I agree to . • the work covered hereunder in compliance with a 1 ordinances and gulations ertaining thereto and in styyrr conformity with t s atements or specifications submitted to the proper authorities of Miami Shor . Village. accepting this permit 1, ssume responsibility for a 1 work done by either myself, my agent, servant or employee. T CONTRACTOR OR BUILD AUTHORITY Permit No 1.:P. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio;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. ,e 9 ® /1,� / /, Owner's Name and Address.....GS). /..C/ F No ! 3 Street ? 5 s7 Registered Architect and /or Engineer ,p ,C Employing Electriciaf's Name Z v `7 %\ Location and Legal Description Lot Block Subdivision.. State work to be performed and purpose of building (By Floors) "4 Street and Number where work is to be performed —No APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Addition Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Main Sw Amps Main Fuses . Amps Amount of Permit • $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby eel tify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OP FLORIDA, I DADE. COUNTY OF . (Signed) Before me, the undersigned authority, a notary public, duly authorized appeared to administer oaths 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 therein by him stated are true. 4V/ l0/ i'G- "n_74"v /IT /G 7 No a 60 Street , /e" . /5 s. C7 Street ' V cJ 517— 7 Do 74E7S v Cam' r 7 - -S Repairs No. of Stories B.X.L Metal Moulding Master Electrician. and take acknowledgments, personally did sign the same, and that all facts 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 T FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL LIST CONTR. / 7 /01Z- CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No 1.:P. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio;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. ,e 9 ® /1,� / /, Owner's Name and Address.....GS). /..C/ F No ! 3 Street ? 5 s7 Registered Architect and /or Engineer ,p ,C Employing Electriciaf's Name Z v `7 %\ Location and Legal Description Lot Block Subdivision.. State work to be performed and purpose of building (By Floors) "4 Street and Number where work is to be performed —No APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Addition Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Main Sw Amps Main Fuses . Amps Amount of Permit • $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby eel tify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OP FLORIDA, I DADE. COUNTY OF . (Signed) Before me, the undersigned authority, a notary public, duly authorized appeared to administer oaths 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 therein by him stated are true. 4V/ l0/ i'G- "n_74"v /IT /G 7 No a 60 Street , /e" . /5 s. C7 Street ' V cJ 517— 7 Do 74E7S v Cam' r 7 - -S Repairs No. of Stories B.X.L Metal Moulding Master Electrician. and take acknowledgments, personally did sign the same, and that all facts 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. Permit No c 2 Ct 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 oi other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, FiL,: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 Ac CH' 14 II e" (-'- 5 'Y Registered Architect and /or Engineer Employing ElectriciaA's Name.. tl...= rdi' / Location and Legal Description Lot Block Street and Number where work is to be performed —No q.. 3.o State work to be performed and purpose of building (By Floors) Ted. ° A New Building Remodeling 1 Addition No TV/ Service Overhead v Size Feeders t? Conduit.. Z `I Main Sw 2 2' i9 Amps Main Fuses..... Amps Underground Type of Installation— Conduit 1 Tubing B.X.L .Metal Moulding Amount of Permit $ / / - " (Signed).(C- 'l (Signed) �'�y Date '— 7- 7 .8' No q Street. Street... 9 ' /I/ c r Subdivision Street A/ e q s T / Rq ' (ZctW) Repairs No. of Stories Electrical Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of j da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub ontractors 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. Muter Electrician. STATE OF FLORIDA, COUNTY OF DADE. I "°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fact therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T•S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE 14 STRIP H TOTAL CONTR. UST // k (f/ ;� , CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1 -5 HP TRANS. RADIO TOTAL CONTR. LIST 2. 2 1 �,,�/ 47 7z Tv-T /3- Q— . CHECK . Permit No c 2 Ct 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 oi other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, FiL,: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 Ac CH' 14 II e" (-'- 5 'Y Registered Architect and /or Engineer Employing ElectriciaA's Name.. tl...= rdi' / Location and Legal Description Lot Block Street and Number where work is to be performed —No q.. 3.o State work to be performed and purpose of building (By Floors) Ted. ° A New Building Remodeling 1 Addition No TV/ Service Overhead v Size Feeders t? Conduit.. Z `I Main Sw 2 2' i9 Amps Main Fuses..... Amps Underground Type of Installation— Conduit 1 Tubing B.X.L .Metal Moulding Amount of Permit $ / / - " (Signed).(C- 'l (Signed) �'�y Date '— 7- 7 .8' No q Street. Street... 9 ' /I/ c r Subdivision Street A/ e q s T / Rq ' (ZctW) Repairs No. of Stories Electrical Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966, Compiled General Laws of j da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub ontractors 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. Muter Electrician. STATE OF FLORIDA, COUNTY OF DADE. I "°' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fact 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.