ELECTRICALAPPLICATION FOR ELECTRICAL PERMIT
/(o /,
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othcr
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation* 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
Permit No 1 3 Date
/?W IN 13 13o vctro ,
Registered Architect and /or Engineer
Employing Electrician's Na e
644 k'S Fl,�C!/ e.
// tiCo� andeLcaa1 Deacri oi' Lot..
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
an ti auto
Street
No
Block Subdivision.
S't
Street and Number where work is to be performed —No 9517 ti � '0'q Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
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 :.. 160
STATE OF FLORIDA,
COUNTY OF DADS I
ss.
(Signed)
9s0 Ng q5
Street....i/60 0 %t J ?S :4v-
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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.
/7 SO
Muter 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 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
OU
LIGHT
OUTLETS
PLUG
R[Cr'P'T'B
FIXTURES
NO LAM••
REFRIO.
OUTLET
IRON
OUTLET
RANG[
OUTLET
RANG[
CONN.
WATER
NEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
14
TOTAL
CONTR.
LIST
�/
ID dC�
�1
/ O o
CNECR
ENT.
Sw.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
A
.5
rA
MOTORS
O.1 HP
MOTORS
1.1 HP
NEON
TRANS.
RADIO
• TOTAL
CONTR.
LILT
38 v0
CHECK
.
APPLICATION FOR ELECTRICAL PERMIT
/(o /,
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othcr
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation* 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
Permit No 1 3 Date
/?W IN 13 13o vctro ,
Registered Architect and /or Engineer
Employing Electrician's Na e
644 k'S Fl,�C!/ e.
// tiCo� andeLcaa1 Deacri oi' Lot..
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
an ti auto
Street
No
Block Subdivision.
S't
Street and Number where work is to be performed —No 9517 ti � '0'q Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
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 :.. 160
STATE OF FLORIDA,
COUNTY OF DADS I
ss.
(Signed)
9s0 Ng q5
Street....i/60 0 %t J ?S :4v-
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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.
/7 SO
Muter 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 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.
44
Permit No / 7 Date 7 /16°
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s(yl(mitted 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 . ....i.'L'1
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Employing Electrician's Name yy'� }� �fj�J��
Location and Legal Description Lotl' .. ��`.:<<1.!�1..'.
Street and Number where work is to be —No
Registered Architect and /or Engineer
SO
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition
No
ock
Repairs No. of Stories
Service n erground Size Feeders.. Conduit o �� Main Sw 0 411 A Q� Amps Main Fuses
Type of Installation — Conduit Tubing r B.X.L Metal Moulding
' ctrical 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 perf ed under this permit, as are
licensed by Miami Shores Village.
(Signed).
Q7 Q
Street //' `• J
�OQ
(Signed) !' t '% ' - e t- W
Master Electrician.
Amps
STATE OF FLORIDA, , l
COUNTY OF DADE. I 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'S
FIXTURES
MPS
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
jig.
LJ
J6
41 7
.3
/
/
/
92
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
�
�7,y7� I
,
w,11
A
MOTORS
O.1 HP
MOTORS
1 -S HP
NEON
TRANS.
pI
RADIO
TOTAL
C L ST
p
,L BU A
.
____L_
___L__-
__L___
_L_
CHECK
__
44
Permit No / 7 Date 7 /16°
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s(yl(mitted 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 . ....i.'L'1
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Employing Electrician's Name yy'� }� �fj�J��
Location and Legal Description Lotl' .. ��`.:<<1.!�1..'.
Street and Number where work is to be —No
Registered Architect and /or Engineer
SO
State work to be performed and purpose of building (By Floors)
New Building Y Remodeling Addition
No
ock
Repairs No. of Stories
Service n erground Size Feeders.. Conduit o �� Main Sw 0 411 A Q� Amps Main Fuses
Type of Installation — Conduit Tubing r B.X.L Metal Moulding
' ctrical 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 perf ed under this permit, as are
licensed by Miami Shores Village.
(Signed).
Q7 Q
Street //' `• J
�OQ
(Signed) !' t '% ' - e t- W
Master Electrician.
Amps
STATE OF FLORIDA, , l
COUNTY OF DADE. I 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.