ELECTRICALMIAMI SHORES VILLAGE
ELECTRICAL INSPECTION 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 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 '-
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. f ss.
(Signed)
(Signed
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 :V 'r , --_ Street______y ___________________.________
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs
Service Overhead Size Feeders______ Conduit._ — Main Sw._ Amps. Main Fuses�____________Amps.
Underground " '�—"
Type of Installation —Conduit Tubing B.X.L.____._________.Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts bis obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
No. of Stories
Master Electrican.
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
H EATER
STRIP
HEATER
TOTAL.
CONTR.
LIST
.-.)
; j
i
F'
,+".,, :.
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEM P.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
i
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION 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 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 '-
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. f ss.
(Signed)
(Signed
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 :V 'r , --_ Street______y ___________________.________
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs
Service Overhead Size Feeders______ Conduit._ — Main Sw._ Amps. Main Fuses�____________Amps.
Underground " '�—"
Type of Installation —Conduit Tubing B.X.L.____._________.Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts bis obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
No. of Stories
Master Electrican.
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.__– %___________—___
Amount of Permit $7
.MIAMI SHI:Ii3ES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT V
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 1‘07.' .mi 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 _ _ No. Street
Registered Azchitect and /or Engineer'
Employing Electrician's Name ___
Location and Legal Description Lot_ Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs
My Commission Expires
No
Service Overhead Size Feeders___________ Conduit_____________ Main Sw.___�_ _ Amps. Main Fuses_ Amps.
_ Am
Underground P P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
(Signed) ___.
Date___
Subdivision_
Street
Notary Public. State of Florida
Master EIectrican.
No. of Stories.
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 agrzes to employ only such sub - contractors, on ,work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. j 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 ebove described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
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 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.__– %___________—___
Amount of Permit $7
.MIAMI SHI:Ii3ES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT V
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 1‘07.' .mi 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 _ _ No. Street
Registered Azchitect and /or Engineer'
Employing Electrician's Name ___
Location and Legal Description Lot_ Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs
My Commission Expires
No
Service Overhead Size Feeders___________ Conduit_____________ Main Sw.___�_ _ Amps. Main Fuses_ Amps.
_ Am
Underground P P
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
(Signed) ___.
Date___
Subdivision_
Street
Notary Public. State of Florida
Master EIectrican.
No. of Stories.
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 agrzes to employ only such sub - contractors, on ,work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. j 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 ebove described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building J
Architect
Contractor
or Builder
CON RA TOR OR B . i DER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 5868
Work to be performed under this Permit
BY
DATE ..0 6
Subdi-
vision
Contractor's ®--
License No. 4
Legal Lot Bl.
Description
Address of �, Value of
Building..14: ) j ie r Project
This permit is granted to the conactor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 rev ed
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 whicl his
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinanc• a ,d
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in Ofe.statements or specifications and th
sibility for work done by his agents, servants or employees. . � , r s- •-- r-'+�'
In accep Signed: '; /, "� /�/ t � � By
INSPE R
In co eration of the issuance to me of this permit I agree to perform the work covered her nder m compliance with-•s rdinances andirmuk ions
pertaining ; to and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriti s of Miami Shores Village. permit I sfume responsibility for all work done by either myself, my agent, servant or employee.
I....
Amt. of
Permit
AUTHORry
194.x'_
assur resgon-
BUILDING
ELECTRIC,U
PLIMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 6367
Work to be performed under this Permit
Owner of
Building '- f
Architect
Contractor ' '
or Builder '
Legal Lot
Description
Address of Value of Amt. of n
Building Project Permit ,,4' •r.....-- —
1 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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawin 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 gssumes- respon-
sibility for work done by his agents, servants or employees. l u
_ /
Signed:, INSPECTOR _ By ;
In co eration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances pndjre aeons
pertaining r to and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami - Shores Village.
Ina ep ' his permit I assume responsibility for all work done by either myself, my agent, servant or employee.
l 4 w .a ✓
CONTRACTp •R BUILDER , , 9 / �J BY
t - .�.a-..-.-‹ / ' L
BI.
Subdi-
vision
DATE
Contractor's
License No.
194
AUTHORITY
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 9° 9-4(2, Time
Type Insp'n e ,n!1 2
Permit No. FL 41- is /4'
Name Atre=9 6
Address /0 Ah 92.5
Company L
Phone# -' O) �`� ,� � /
For Inspector:
Approved
Correction
Re- Insp'n Fee ❑
�Naame & Date
Owner's Name and Addreas.1L L"� / AfT/�' A �� �
Amount of Permit $
STATE OP FLORIDA,
COUNTY OP DADE I
se.
appeared 1 4 1 • lit g
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.,�e. � � . [ Date � /e) /�,
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation, of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Registered Architect Architect and /or Engineer
En l r� . glect r ic i h's Na e 46 422 ems' ..... d No /(7-
/ Location and Lc 13 eacnption L 6 Block
Street and Number where work is to be performed —No le
State work to be performed and purpose of building (By Floors) W.-1ii21�t5
New Building Remodeling Addition Repairs No. of Stories
Service Overh3rgfroe3rz� Site Feeders l � C ' cy �Conduit Main Sw /6G Amps Main Fuses Amps
Type of Installation— Conduit ........1� Tubing.. ... B.X.L.. Metal Moulding
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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) M. DEVANEY
(Signed)
No l a �&
?02C °t�G" 4 C ,fig.
Street / 4. 917 sr
79�
Street
N;?
Stree
Subdivision. Pe 7n
Notary P .li State of Flori
Before me, the an reigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
/
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ GC fA)
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.
NonRY PUBLIC. STATE OF , FLOPIDA,
i4Y CQ 1155i0?' E ;CPIRES: SEP'i. 29, 1992,
THnti Nr ti :CiRY.1,21AnLLGIUNEG1tt*JRIT.OREL
My Commission Expires
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
0
LIGHT
OUTLETS
PLUO
RECE'P•T'S
FIXTURES
NO LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
NEATER
W. MEAT.
CONN.
SPACE
NEATER
STRIP
M
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAE.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
141 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Addreas.1L L"� / AfT/�' A �� �
Amount of Permit $
STATE OP FLORIDA,
COUNTY OP DADE I
se.
appeared 1 4 1 • lit g
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.,�e. � � . [ Date � /e) /�,
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulation, of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Registered Architect Architect and /or Engineer
En l r� . glect r ic i h's Na e 46 422 ems' ..... d No /(7-
/ Location and Lc 13 eacnption L 6 Block
Street and Number where work is to be performed —No le
State work to be performed and purpose of building (By Floors) W.-1ii21�t5
New Building Remodeling Addition Repairs No. of Stories
Service Overh3rgfroe3rz� Site Feeders l � C ' cy �Conduit Main Sw /6G Amps Main Fuses Amps
Type of Installation— Conduit ........1� Tubing.. ... B.X.L.. Metal Moulding
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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) M. DEVANEY
(Signed)
No l a �&
?02C °t�G" 4 C ,fig.
Street / 4. 917 sr
79�
Street
N;?
Stree
Subdivision. Pe 7n
Notary P .li State of Flori
Before me, the an reigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
/
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ GC fA)
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.
NonRY PUBLIC. STATE OF , FLOPIDA,
i4Y CQ 1155i0?' E ;CPIRES: SEP'i. 29, 1992,
THnti Nr ti :CiRY.1,21AnLLGIUNEG1tt*JRIT.OREL
My Commission Expires
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.