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ELECTRICALBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building »: MIAMI SHORES VILLAGE, FLORIDA Li . PERMIT N? 15705 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BI. Description Address of Building CONTRACTOR OR BUILDER Signed: Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ 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 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. 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. BY AUTHORITY BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot a PERMIT N? 15884 ❑ Work to be performed under this Permit • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE .dr 1 " ) {.r I BL Subdi- vision Value of Project $ Contractor's License No. Amt. of Permit BY AUTHORITY 195 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 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. tt f Signed• BY INSPECTOR ` '�`•A� 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. 1 MIAMI SHORES VILLAGE ELECTRICAL IINSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 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, X 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. vi / A / " No `...0...3. Street.. . fC. Gp bt Owner's Name and Address Registered Architect and /or Engineer J /� / y Employing Electriciafi's Name.J3lF 0 71neW5... 4i..`�t'crniC Nb. / 3 w /6trz... /j''- ... .................... Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No t.. 03s- 3 J /V �C rxeet 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 STATE OF FLORIDA, } COUNTY OF DADS. Amount of Permit $ \b. 0 1) (Signed) Electrical Ins sector. The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obligations as an employer of labor under the Florida Workmen'o 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 oub• contractors employed by :Tim 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) Master Electrician. ss. 1$efore 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 conotruction, 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 ?ublic, State of Ploriea NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made neceeaary 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 WeATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. L187 !Oy 55 C CHECK �. ,.... -F '"te . _ .. A it 3 T411 ® ° ..�_ ENT. SW. _..._— ®i3T CAD-. t _. ._.._ SERVICE TEMP. _. SERVICE PERM. _ _ _. -.-._ T .. MOTORS O -I HP _- MOTORS 1.0 HP 'V ^eOR� TRANS. ...� RADIO ' TOTAL CONTR. LIST • 5 CHECK MIAMI SHORES VILLAGE ELECTRICAL IINSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 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, X 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. vi / A / " No `...0...3. Street.. . fC. Gp bt Owner's Name and Address Registered Architect and /or Engineer J /� / y Employing Electriciafi's Name.J3lF 0 71neW5... 4i..`�t'crniC Nb. / 3 w /6trz... /j''- ... .................... Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No t.. 03s- 3 J /V �C rxeet 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 STATE OF FLORIDA, } COUNTY OF DADS. Amount of Permit $ \b. 0 1) (Signed) Electrical Ins sector. The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obligations as an employer of labor under the Florida Workmen'o 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 oub• contractors employed by :Tim 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) Master Electrician. ss. 1$efore 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 conotruction, 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 ?ublic, State of Ploriea NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made neceeaary by improper notice for inspection, or faulty materials and /or workmanship. Permit No A 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 12 /1/.1?. jet -21x. Registered Architect and /or Engineer _ Employing Electrician's Namc_ p...+.. Location and Legal Description Lot Block JJ Street and Number where work is to be performed —No J..0 . Street.l.�i State work to be performed and purpose of building (By Floors) New Building Remodeling X MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT No 1Q Street. la�il�.. 4 Stud- 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 $...L.,0.6 (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this pennit, as are The undersigned applicant for this building permit does hereby certify 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 taus: to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, ork work to licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OP DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized appeared My Commission Expires (Signed)... /... 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. Date .5 i2 54 Subdivision Master Electrician. and take acknowledgments, personally did sign the same, and that all facts / * otary 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.! HP N EON TRANS. RADIO TOTAL CONTR. LIST j_ CHECK ____ Permit No A 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 12 /1/.1?. jet -21x. Registered Architect and /or Engineer _ Employing Electrician's Namc_ p...+.. Location and Legal Description Lot Block JJ Street and Number where work is to be performed —No J..0 . Street.l.�i State work to be performed and purpose of building (By Floors) New Building Remodeling X MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT No 1Q Street. la�il�.. 4 Stud- 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 $...L.,0.6 (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this pennit, as are The undersigned applicant for this building permit does hereby certify 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 taus: to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, ork work to licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OP DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized appeared My Commission Expires (Signed)... /... 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. Date .5 i2 54 Subdivision Master Electrician. and take acknowledgments, personally did sign the same, and that all facts / * otary 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 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 ,r / Owner's Name and Address No—_____________ Street ______ _ _____ Registered Architect and /or Engineer Employing Electrician's Name _._ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Street and Legal Description Lot___1_G'__ _ C �' __ __— ___Block 1 ` Subdivision_ _ l / Street and Number where work is to be performed —No ! f:__ - State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $__ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed) Street Addition Repairs______________ Date r✓ <'! 1Y ,: _ C� No. of Stories._ . Main Sw . Amps. Main Fuses_ B.X.L Metal Moulding Notary Public. State of Florida Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are / ' (Signed) -- - - r — Master 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, cr 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. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAE. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK / SD 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 ,r / Owner's Name and Address No—_____________ Street ______ _ _____ Registered Architect and /or Engineer Employing Electrician's Name _._ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Street and Legal Description Lot___1_G'__ _ C �' __ __— ___Block 1 ` Subdivision_ _ l / Street and Number where work is to be performed —No ! f:__ - State work to be performed and purpose of building (By Floors) New Building Remodeling Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $__ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed) Street Addition Repairs______________ Date r✓ <'! 1Y ,: _ C� No. of Stories._ . Main Sw . Amps. Main Fuses_ B.X.L Metal Moulding Notary Public. State of Florida Amps. Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are / ' (Signed) -- - - r — Master 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, cr faulty materials and /or workmanship. CHECK .,........0 1•-/ •• i iIr I% 'S( r.. �, ,. *? f • ! -, i ENT. DIST. ' SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1 -5 HP TRANS. CONTR. LIST / / 7 CHECK /i . .J✓ MIANT1 SHORES VILLAGE Permit No. ' ./ __& Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the a proval 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 wo My Commission Expires No Owner's Name and Address ____ - - -- – ------ _--- -_ -- -_ Service Overhead Size Feeders T I...ioror ++ w ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer —_ Employing Electrician's Name ___,. -� ' c = t t .- / 1 c' No. /_ •_________— ___.__ Street ' 't''''` a "...C. /� ! e C- , Location and Legal Description Lot_:,_:________.._ . ____________— ______Block__; Subdivisionl' • ., ` ' `_.__– Street and Number where work is to be erformed —No.__ L____, _ F / r- P t1 J ! �_� i " Street � t ` State work to be performed and purpose of building (By Floors) New Building t ' / Remodeling Addition Repairs______________________ No. of Stories Conduit._ Main Sw Amps. Main Fuses— Type of Installation— Conduit Tubing ` B.X.L. Metal Moulding (Signed) Date 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. Master Electrican. Amps. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. 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 materials and /or workmanship. SWITCH L LIGHT P PLUG F FIXTURES R REFRIG. I IRON R RANGE R RANGE W WATER W W. HEAT. S SPACE S STRIP T TOTAL CONTR. 7 I C�i ` t-' L/' / / / / 1 r r .J✓ MIANT1 SHORES VILLAGE Permit No. ' ./ __& Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the a proval 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 wo My Commission Expires No Owner's Name and Address ____ - - -- – ------ _--- -_ -- -_ Service Overhead Size Feeders T I...ioror ++ w ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer —_ Employing Electrician's Name ___,. -� ' c = t t .- / 1 c' No. /_ •_________— ___.__ Street ' 't''''` a "...C. /� ! e C- , Location and Legal Description Lot_:,_:________.._ . ____________— ______Block__; Subdivisionl' • ., ` ' `_.__– Street and Number where work is to be erformed —No.__ L____, _ F / r- P t1 J ! �_� i " Street � t ` State work to be performed and purpose of building (By Floors) New Building t ' / Remodeling Addition Repairs______________________ No. of Stories Conduit._ Main Sw Amps. Main Fuses— Type of Installation— Conduit Tubing ` B.X.L. Metal Moulding (Signed) Date 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. Master Electrican. Amps. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. 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 materials and /or workmanship. Permit No Owner's Name and Address STATE OF FLORIDA, } COUNTY OF DADE. ss. J t , MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date........ r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building c_ :a' :- structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, :�iorda, 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be 'iep* a': building during progress of work. No Street Registered Architect and /or Engineer �..., , Employing Electrician's Name t \ .:.' ....`. i No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No i P ,_.,...a Street - .....: ._.:L 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 Arn_s Underground Type of Installation— Conduit Tubin B.X.L Metal . Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or stb- contractors employed by him in * ._ 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 natir:'s as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as a :: licensed by Miami Shores Village. / (Signed) / Before me, the undersigned authority, a notary public, duly authorized to administer oaths ant" take acknowledgments, perscna_ 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 fac' therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fancy materials a or workmanship. Master Electrician SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS r EFRI0. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER 'KCAL. CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP N EON ! TRANS. RADIO TA rAL CONTR. LIST CHECK Permit No Owner's Name and Address STATE OF FLORIDA, } COUNTY OF DADE. ss. J t , MIAMI SHORES VILLAGE ELECTR ICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date........ r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building c_ :a' :- structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, :�iorda, 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 of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be 'iep* a': building during progress of work. No Street Registered Architect and /or Engineer �..., , Employing Electrician's Name t \ .:.' ....`. i No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No i P ,_.,...a Street - .....: ._.:L 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 Arn_s Underground Type of Installation— Conduit Tubin B.X.L Metal . Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or stb- contractors employed by him in * ._ 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 natir:'s as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as a :: licensed by Miami Shores Village. / (Signed) / Before me, the undersigned authority, a notary public, duly authorized to administer oaths ant" take acknowledgments, perscna_ 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 fac' therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fancy materials a or workmanship. Master Electrician 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 a~ building during progress of work. Owner's Name and Address f' %- r. No Street Registered Architect and /or Engineer Employing Electrician's Name , -. No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building --A 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 $ 1 (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 subcontractors employed by him in th_ 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 o:• notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Street (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, p_rsonally 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 ill facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials d /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P•T'S FIXTURES NO. LAMPS nEFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST - C` - ^ - CHECK "� �.% ,. -r �� ��j� -'' , � 1 ` N � � � s ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 04 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST ^ CHECK , !y 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 a~ building during progress of work. Owner's Name and Address f' %- r. No Street Registered Architect and /or Engineer Employing Electrician's Name , -. No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building --A 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 $ 1 (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 subcontractors employed by him in th_ 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 o:• notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as arc licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Street (Signed) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, p_rsonally 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 ill facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials d /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORIDA w.t it DATF f 195 p PERMIT N° 3940 Contractor's p License No. p Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building Bl. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ Amount of Permit $ 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 herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wi l be performed in compliance w,.th 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. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent,,, servant or employee. BY AUTHORITY 8