Loading...
ELECTRICALOwner's Address Qualifier 4 Q. Square Pt. Sign re of o Date: P otary as to Owne Fo My Commission Exp res APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3\a\ Job Address 1 1) 1'4 .� . c\? 5 Z Tax Folio Legal Description Lessee / Tenant Contracting Co pgt� Address� / "� �S State # tk� 3133 Municipal # X Competency Architect /Engineer N / a Bonding Company N A Mortgagor �`( /'t\ Permit Type(circle one): BUIILDING '7,50 k 1•t . . • 1"� v.,. )? C )k Condo Presient Mt_ 1•('C,,,;,� � � Master Permit # �` Phone 11', -435 SS# . Phone '? C V" \ •12:c # \' Address Zoning Building Ins .Co Address Address PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION . 4.A. Jlc�t.�+a Qi C � .5 COU.A1LeR Estimated Cost(value) t i 3 O rCNc WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated Date: Notary as to Contractor or My Commission Exp res.,-_i; Fire gnature of Cont j !r or Owner- Builder Other Mechanical Plumbing Engineering ** * * * '_; *.' * '. * . * * * * FEES: PERMIT-1:9- 0 e ) RADON C.C.F. P .o NOTARY TOTAL DUE Electric „epi) Bennett Electric Service Co. MS. GWENDOLYN MC NAIR 1 -24 -94 7501 N.W. 4TH AVENUE PH# 758 -5835 MIAMI, FLA. , 33150 lrtNA. k" - 4? RE: REPAIRS TO RESIDENCE LOCATED AT: 10 N.E. 97 STREET MIAMI SHORES, FLA. . DEAR MS. MC NAIR, CONTRACT ENCLOSED, PLEASE FIND OUR REPAIR COST TO PERFORM THE WORK AS LISTED BY THE CITY OF MIAMI SHORES CHIEF ELECTRICAL DURING HIS INSPECTION OF YOUR FUTURE RESIDENCE. OUR REPAIR PROPOSAL INCLUDES THE FOLLOWING ITEMS: 1. REWIRE THE ENTIRE CENTRAL AIRCONDITIONING SYSTEM FOR THE EAST WING OF THE RESIDENCE WHICH WILL INCLUDE: A. REMOVAL OF EXISTING ROMEX TYPE WIRING. B. INSTALLATION OF METAL CONDUIT RACEWAY -TO CONDENSOR. C. SERVICE DISCONNECT AT AIR HANDLER UNIT. D.- RELOCATION OF WEATHERPROOF SERVICE DISCONNECT AT CONDENSOR LOCATION. 2. REPLACE DEFECTIVE PULL CHAIN FIXTURE IN CLOSET OF NORTHEAST BEDROOM. 3. REPLACE DEFECTIVE FULL CHAIN FIXTURE IN CLOSET OF SOUTH BEDROOM. 4. REPLACE DEFECTIVE PULL CHAIN FIXTURE IN CLOSET OF SOUTHWEST BEDROOM. 5. FURNISH AND INSTALL A VAPOR PROOF FIXTURE IN THE SHOWER . STALL OF NORTHEAST BEDROOM BATH. Bennett Electric Service Co. 6. ':' .INSTALL A 1 -GANG IVORY BLANK PLATE ON OPEN BOX LOCATED IN KITCHEN SOFFIT - EAST WALL. 7. DISCONNECT LOOSE CONNECTION FROM OLD GARBAGE DISPOSAL UNDER COUNTER OF SINK. 8. INSTALL COVER PLATE. ON SPLICE BOX IN DROP CEILING AREA OF MASTER BEDROOM. 9. INSTALL A NEW 2 -GANG SWITCH PLATE IN MASTER BEDROOM. 10. REPLACE MISSING PLATE ON WALL OUTLET IN MASTER BEDROOM, 11. SECURE LOOSE WIRING CONDUCTOR INSIDE DISCONNECT SWITCH LOCATED ON WEST WALL OF GARAGE AND INSTALL MISSING SPLICE BOX COVER PLATE. 12. CONNECT SPRINKLER PUMP PROPERLY AND SECURE. HANGING CONDUIT. 13. PROPERLY SECURE. COVER PANEL FOR ELECTRIC PANEL IN HALL. 14.. PROVIDE PANEL COVER FOR ,FUSE PANEL IN KITCHEN. 15. :.REPLACE' WEATHERPROOF.. OUTLET ON WALL AREA. WEST SIDE OF POOL - USING NEW. GROUND FAULT PROTECTED TYPE.. PROVIDE:.NEW PROTECTED COVER 'ELECTRIC METER.'; -.17.. REWIRE' POOL° PUMP• AND FILTER.. PUMP. ON PULL BOX LOCATED BELOW SERVICE DISCONNECT SWITCH FOR POOL•...' 18. FURNISH AND INSTALL A NEW WEATHERPROOF TIME. CLOCK FOR POOL FILTER PUMP. 19. • DISCONNECT AND REMOVE RUSTED CONDUIT AND SWITCH FOR OLD 120 VOLT. POOL LIGHT. Permit Applica 2� Z I SF MIAMI SH a REd ILLAGE ' s o 0© I t Date.1 �Y_ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT rt3 �-- building during progress of work. • e for the approval of the detailed statement of the plans and specifications herewith submitted for the builtg other e herei 1 : s e u . This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villag 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 Dl on of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at No 1 / G r� �' _Street__,L �__ Owner's Name and Address'..`__- __ .... 4 ,.r"4. t. Registered Architect and /or Engi�, Employing Electrician's Nam:' _'. - _ -_ -__ _ -// - ' t'` ; -L-" l: No /' j 7- Street_ - SC Location and Legal Description � t_ � .1 Block Y1 Subdivisio Street and Number where work is to be performed —No.. ! a " 4 .f_.,.. 7r' Street_ State work to be performed and purpose of building (By Floors) Kl r1JA2 9 New Building____J_' _Remodeling__ Addition_ Repairs__ No. of / Conduit__ // / ee Service Overhead Size Feeders_____1 _____ �� �"___Main Sw.1__ �.__!1- :_Amps.____________ Main Fuses_ -_ /49 C __ -_Amps T o Installation —Co dui R _____Tubing___''' _ �B.X.L._________ _ Moulding_..___________ _ Amount of Permit $__________ _ E ectrical The undersigned applicant for this building permit does hereby certify that 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 p osted 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 wok to be performed under this permit, as are licensed by Miami Shores Village �/ 2 r ` M 1: ie ( Signed ) STATE OF FLORIDA, 1 /j am , Gag 3DCIC COUNTY OF DADE. I ss. Before me, the undersigned authorit ZbZ, y authorized to administer oaths and take acknowledgments, personally Master Electrician. appeared__ to me well known, and who, being by me first duty 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 REFRIG. OUTLET IRON OUTLET So RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL Corm. LIST ._ .. YK • .. i� / S5 _Ler / ' � r ��r CHECK ' "• .. 00 ` ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. , MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL LIST A CHECK i 4140 - OO c J • �` �� Permit Applica 2� Z I SF MIAMI SH a REd ILLAGE ' s o 0© I t Date.1 �Y_ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT rt3 �-- building during progress of work. • e for the approval of the detailed statement of the plans and specifications herewith submitted for the builtg other e herei 1 : s e u . This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villag 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 Dl on of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at No 1 / G r� �' _Street__,L �__ Owner's Name and Address'..`__- __ .... 4 ,.r"4. t. Registered Architect and /or Engi�, Employing Electrician's Nam:' _'. - _ -_ -__ _ -// - ' t'` ; -L-" l: No /' j 7- Street_ - SC Location and Legal Description � t_ � .1 Block Y1 Subdivisio Street and Number where work is to be performed —No.. ! a " 4 .f_.,.. 7r' Street_ State work to be performed and purpose of building (By Floors) Kl r1JA2 9 New Building____J_' _Remodeling__ Addition_ Repairs__ No. of / Conduit__ // / ee Service Overhead Size Feeders_____1 _____ �� �"___Main Sw.1__ �.__!1- :_Amps.____________ Main Fuses_ -_ /49 C __ -_Amps T o Installation —Co dui R _____Tubing___''' _ �B.X.L._________ _ Moulding_..___________ _ Amount of Permit $__________ _ E ectrical The undersigned applicant for this building permit does hereby certify that 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 p osted 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 wok to be performed under this permit, as are licensed by Miami Shores Village �/ 2 r ` M 1: ie ( Signed ) STATE OF FLORIDA, 1 /j am , Gag 3DCIC COUNTY OF DADE. I ss. Before me, the undersigned authorit ZbZ, y authorized to administer oaths and take acknowledgments, personally Master Electrician. appeared__ to me well known, and who, being by me first duty 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. 7e) P STATE OF FLORIDA, COUNTY OF DADE. 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 lie kept at building during progress of work. c� -� Owner's Name and Address______ __ __ �! - __ ___No l� ___Street___ _______1_f_ -1Z8-f Registered Architect and /or Engineer- _______ Employing Electrician's Name_ ____� _ .______ ___No.___a_ 1________________Street__ f_____ Location and Legal Description Lot _____________________- _ -_�_- ,� / Block Subdivision �-- Street and Number where work is to be performed -No. /.. _ ,(►' 4_______________ ___________- ____ __Street _-7- - State work to be performed and purpose of building (By Floors) _._____________________________ New Building _______._____— __________ Remodeling_______________ Addition_- ___ -_ -._ Repairs } ss. Service Overhead Size Feeders Conduit__ Sw.._ __ _____ ____Amps Main Underground Type of Installation- Conduit_ ---_- _______Tubing_____• _____B.X.L._ -._ Metal Moulding J Amount of Permit $ ,�' - -_ _----- - - -___ __ _U ( Signed) Date. --- ...... - - ...... - - - - - _ -- — - - _No. of Stories (Signed)- - - --.e ,/ Master Electrician. / Electrical Inspector. The undersigned applicant for this building permit does hereby certify that A nderstands and accepts his � ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co ! ed General Laws of Florida ermanent 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 p osted 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. 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 N O. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. H EAT. CONN. SPACE H EATER STRIP H EATER TOTAL. CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL. CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. 7e) P STATE OF FLORIDA, COUNTY OF DADE. 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 lie kept at building during progress of work. c� -� Owner's Name and Address______ __ __ �! - __ ___No l� ___Street___ _______1_f_ -1Z8-f Registered Architect and /or Engineer- _______ Employing Electrician's Name_ ____� _ .______ ___No.___a_ 1________________Street__ f_____ Location and Legal Description Lot _____________________- _ -_�_- ,� / Block Subdivision �-- Street and Number where work is to be performed -No. /.. _ ,(►' 4_______________ ___________- ____ __Street _-7- - State work to be performed and purpose of building (By Floors) _._____________________________ New Building _______._____— __________ Remodeling_______________ Addition_- ___ -_ -._ Repairs } ss. Service Overhead Size Feeders Conduit__ Sw.._ __ _____ ____Amps Main Underground Type of Installation- Conduit_ ---_- _______Tubing_____• _____B.X.L._ -._ Metal Moulding J Amount of Permit $ ,�' - -_ _----- - - -___ __ _U ( Signed) Date. --- ...... - - ...... - - - - - _ -- — - - _No. of Stories (Signed)- - - --.e ,/ Master Electrician. / Electrical Inspector. The undersigned applicant for this building permit does hereby certify that A nderstands and accepts his � ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co ! ed General Laws of Florida ermanent 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 p osted 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. 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date V 59 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 S. Leifert No 10 N . E $treet... Street Registered Architect and /or Engineer Employing Electrician's Name KAMMER & WOOD N 297 N. W. Street 54th Street, Miami Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 10 N. E . 97th Street Street Re —model State work to be performed and purpose of building X (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 $ STATE OF FLORIDA, 1 COUNTY OF DADE. J j % ez% (Signed) t'-- 4 88. (Signed) Cr 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. L787 ST 5 5 18 1 1 CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -8 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date V 59 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 S. Leifert No 10 N . E $treet... Street Registered Architect and /or Engineer Employing Electrician's Name KAMMER & WOOD N 297 N. W. Street 54th Street, Miami Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 10 N. E . 97th Street Street Re —model State work to be performed and purpose of building X (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 $ STATE OF FLORIDA, 1 COUNTY OF DADE. J j % ez% (Signed) t'-- 4 88. (Signed) Cr 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner of Building - BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot This permit is granted to the contractor or bull herefor in strict compliance with all ordinances . drawings, statements or specifications that may time if the work is not done in compliance with uth granted is the understanding that the contractor qcs pertaining to the work covered hereby whether dawn done by his agents, servants or em ogees. In consideration of the issuance to me of this permit I agree , otm the work covered hireennder'in a$ ordi pertaining thereto and in strict conformity with the p drawings, statementi ications'sebnylited to the roper iU of In accepting this permit I assume responsibility for all work done by either, m , my agent, savant or employee. CONTRACTOR OR BUILDER MIAMI SHOREB VILLA 57 Sub di- Value of Project $ r'named above to conatruct_the building or to install the g thereto and with the understanding that the work submitted to and approved btr the as or if the plans are clanged ✓ named above mama a the on the plans or or in Signed: BY Permit l da,ioe Aum arrr Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT ` Permit No...d � Y 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 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. oY P No Street_ 6 (4 , I . Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No , ! ® /�.I 9'7 fJ `•' Q No.... ).A.2.,e Street 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 $ /, b a &/1 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepEs 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 b performed under this permit, as are licensed by Miami Shores Village. v / STATE OF FLORIDA, COUNTY OF DADE. I ss. My Commission Expires (Signed) Notary Public, State of Florida Subdivision 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. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST J� � alr CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIsr ^ r - -, - ia9. ) 4YLi0 ((l�, '� C 41,.�b cesk _ � /e Q ( CHECK Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT ` Permit No...d � Y 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 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. oY P No Street_ 6 (4 , I . Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No , ! ® /�.I 9'7 fJ `•' Q No.... ).A.2.,e Street 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 $ /, b a &/1 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepEs 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 b performed under this permit, as are licensed by Miami Shores Village. v / STATE OF FLORIDA, COUNTY OF DADE. I ss. My Commission Expires (Signed) Notary Public, State of Florida Subdivision 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. 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. BUILDING ❑ v LECTRICAL DATE '~ 7e, 1951 'LUMBING ❑ PE N9 7572 GOOFING ❑ )caner of 3uilding zrchitect " ontractor )r Builder • + .egal Lot )escription ddress of luilding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Bl. e"-^ ? •,j 57 Work to be performed under this Permit -.f .. y Subdi- vision Sq. Ft Value of Project $ 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 application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime 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 :ranted is the understanding that the contractor or builder named above assumes the responsibility for a thojough knowledge of the ordinances and regulations =ertaining to the work covered hereby whether shown on the plans or drawings,pr in the sta ments or speeficatijons and that he assumes responsibility for work lone by his agents, servants or employees. ti Signed 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 ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications pahmitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, Arvant or employee. ,o Contractor's License No C C . Amt. of Permit $ i BY AUTHORITY UILDING -LECTRICAL ermit is granted is the understanding that the ;foliations pertaining to the work covered hereby a bility for work done by his agents, servants or employees. MIA 1 SI-ICIFIES VILLAGE, Furoutm. DATE P1 PERIVIliT N? 8632 -Msei 14; Centritednei Work to be pOormed under this Permit ?wner of i 6: , ?li .4.... .„..)4-1-- . architect )ontractor :Builder .egal Lot ?escription Aldress of !ending t z ow Value of This permit is granted to the contractor or builder named above to construct the building or to install the that the wh as ation herefor in strict compliance with all pertaining thereto ad wpia the tel d et at e ftat e g drawings, statements or specifications that have been su�tttee to and approved by any time if the work is not done in compliance such ordinances or ff thepkinare or builder mined above amunes shown on the plans In consideration of the issuance to me of this permit I agree to wtaining thereto and in strict ... ormity with the plans, opting this permit I f - responsibi7 for all work done 7 ,, . COIITRACTOR OR BUILDER Signed: Amt-of Pent* WW 114111 0116;14. au :" for a -mow ts or , / UILDING lECTRICAL LUMBING "'" 145 M7 1 77 .72,771.7 MIAMI SHORES VILLAGE, moRIDA DATE PERMIT N? 8543 Work to be performed under this Permit )wner, of rchitect ontractor r Builder / Lot lescriptiou ...C.O.' 11 Bl. Subdi- vision Contractor's License No. 4ifiding ' t Prokrt -ddress of Valas of ) This permit is granted to the contractor or builder named above to construct the building or to install the eqUi ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work Isms, drawings, statements or specifications that may have been submitted to and approved by the m=141 if . t any time the work is not done in compliance with such ordinances or if the plait OM COBIlitiOp upon which ermit is granted is the understanding that the contrector or builder named above aroma for a of the enbeanees lions pertaining to the work covered hereby shown on the plans or or • he ariallnar region Signed: By ' 'ty for work done by his agents, servants or em p In consideration of the issuance to me of this permit I agree to perform covered hereunder in compliance with g attaining thereto and in strict conformity with the plans, drawings statem epeoifications submitted to the proper a a accepting this permit I assume responsibility for all work done by rays*, my agent, servant or tgoyee. CONTRACTOR OR BUILDER BY Amt. of vs0 Permit wiimn device described in t h in compliance Permit may be • ti BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL X PLUMBING ❑ PERMIT N? 10024 Contractor's .. , p © S 1 " 7 ROOFING ❑ License No. Owner of Building Architect Contractor �G or Builder / i: -G ..: Gam /..� $'" . ..z-c, Legal Lot II Description II B1 Address of , re <<./. /7 Building - Date a Work to be performed under this Permit 7 - 5- c A nP) Subdi- vision Sq Ft Value of Project $ H Amount of II Permit $ 19 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with 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 • C : 7 / ' (INSPECTOR) BY In consideration of the issuance to me of this pe,yIt I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the p1 . , 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 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE I �• 195 ° PERMIT N? 8238 ❑ Work to be performed under this Permit Bl. BY Subdi- vision Sq. Ft Value of Project $ Contractor's License No. t- Amt. of Permit $ + i . t (,.) 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 apfication herefor in strict compliance with all ordinances pertaining thereto and with 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 responsibility for work done by his agents, servants or employees. Signed • t., . /.' 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 all work done by either, myself, my agent, servant or employee. AUTHORITY 7 Permit No ,(' ) 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 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 0 4 k r ' Registered Architect and /or Engineer Employing Electrician's Name.... „t Service Overhead Size Feeder Underground STATE OF FLORIDA, COUNTY OF DADE. mfr S S. Street and Number where work is to be performed —No / D State work to be performed and purpose of building (By Floors) No j° Street /” r • ," 71 SY No ; i Street ` ! I. )' y tt Location and Legal Description Lot Block Subdivision tt New Building Remodeling Addition Repairs No. of Stories lil„f :, yt-a4 -- Street rt if Conduit.. Main Sw (3-fl Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding J i� Amount of Permit $ ! �' i (Signed) .' � '� /' ._., • P ___�,___ d r - '1'lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and 9ccepts his obligations as ai -.Ctnployer 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date )•• 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. 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 *� iM CHECK d ` '� j. d ENT. SW. DIST. CAL. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK /f� 5,.• " �:.:L /7/yf Permit No ,(' ) 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 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 0 4 k r ' Registered Architect and /or Engineer Employing Electrician's Name.... „t Service Overhead Size Feeder Underground STATE OF FLORIDA, COUNTY OF DADE. mfr S S. Street and Number where work is to be performed —No / D State work to be performed and purpose of building (By Floors) No j° Street /” r • ," 71 SY No ; i Street ` ! I. )' y tt Location and Legal Description Lot Block Subdivision tt New Building Remodeling Addition Repairs No. of Stories lil„f :, yt-a4 -- Street rt if Conduit.. Main Sw (3-fl Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding J i� Amount of Permit $ ! �' i (Signed) .' � '� /' ._., • P ___�,___ d r - '1'lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and 9ccepts his obligations as ai -.Ctnployer 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date )•• 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. 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. �° C p n� Owner's >.+ s Name and Address 1_._ Lei i L- E 7 No.) V /V L- Street Registered Architect and /or Engineer Employing Electrician's Name__.. u.. r LE NR 7 Q r N4: kl ". -sMter Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition X 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 G� Amount of Permit $ .../ STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date .... Electri . ector. The undersigned applicant for this building permit does hereby certify that heiun erstands and accepts his obligations as a ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile General Laws of Florida Permanent •ement, and has complied with the provisions thereof, and will require similar compliance frbm'all contractors or subcontractors employe 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. (Signed) 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. 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 - - + / + /� �, „��� 1 � /J \ s, CHECK r ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO 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. �° C p n� Owner's >.+ s Name and Address 1_._ Lei i L- E 7 No.) V /V L- Street Registered Architect and /or Engineer Employing Electrician's Name__.. u.. r LE NR 7 Q r N4: kl ". -sMter Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition X 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 G� Amount of Permit $ .../ STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date .... Electri . ector. The undersigned applicant for this building permit does hereby certify that heiun erstands and accepts his obligations as a ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile General Laws of Florida Permanent •ement, and has complied with the provisions thereof, and will require similar compliance frbm'all contractors or subcontractors employe 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. (Signed) 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. Permit No Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. I - ss. 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 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. I r Z_. L i �' f' ti No Registered Architect and /or Engineer Employing Electrician's Name No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 S (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. (Signed) Date � I i g8- / -2 Street Street Repairs No. of Stories i 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Owner's Name and Address STATE OF FLORIDA, 1 COUNTY OF DADE. I - ss. 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 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. I r Z_. L i �' f' ti No Registered Architect and /or Engineer Employing Electrician's Name No Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition 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 S (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. (Signed) Date � I i g8- / -2 Street Street Repairs No. of Stories i 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.