ELECTRICALFLOOR
NUMBER OF
SIZES OF
INSULA7 'ION
'
OPEN OR
CONCEALED
Number
C1rcut
_r
Outlets
v
Motor
Gen.
Main
i
Sub
6
Branch
Basement—_
First
iecond—
Thir1
?ourth
,/
)ther Floors.
.
rorm 246
I Outlets
Lot Number � 7 • Block Number
5 11,1
Street and Numbe 1 N
Owner
)1/-*/
Occupied as
Building —New or Old (underline which.
APPLICATION
DATE_ — 192
Electrical Department-of . e of Miami-- -
Desiring your Certificate of Approval, ai )plication is hereby made
for an inspection of the electric installation -i in the premiss stated be-
, low, for which undersigned agrees to correct any i„, nfractions 'of the
N ational Electrrical Code and` the City Ru esl pointe out : by Inspector.
LOCATION u:at,s:
_ AVOID DELAY BY GIVING FULL INFORMATION. _ALL SPACES MUST -BE FILLED- Oft APPLICA-
TION WI L BE RETURNED — A
00
Side t•
Occupant —`—"— —
Work — Additional oA • New (underline which).
SPECIFICATIONS
H. P. of each motor
Number of Motors H P Volts Amps Pha "e
Motors I Receptacles Generators L Stoves (Water Heatertl� Signs Billboardr-. Other Apparatus
/
ova. 300.a
Greatest Number of Lights on One Branch (Nature of Work) Open —Cone xaled
REMARKS•
Work will be starte
(Applicant sign here)
Received by Inspector
CERTIFICATES
Progress •
Will inspect ag
Rough
FINAL , No
Corre• e
-- - .Temporary '" ' "nays
Approved Letter
Date Issue
• Correct Location
Correct Equip
DEFECTIVE
Time
llowe"d•'
Days
in .
MEP be finished
SPACE BELOW FOR INSPECTORS USE 0 LY
Inspected 7 �
{
Electric Light Co
ee remitted
Address /
Street 7 8. ,/ .
2
No. / 144
AtA
nob — Mldg. —Coi.
3emarks f x'
Tnspector
2.0:21k1
tt 11 •
10
- r - irm 00t :t.
- ,Are u i vc in, ye
CC
I t.:) tit? ' "r. ; ,tu •
f -7 1 c cit7' n
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEALED
Number of
Circuits
Outlets
Motor
Gen.
Main
Sub
Branch
lsement—
irst
eco nd—
laird
Kik
L.1
:c2l;
•
mirth
ther Floors.
'rrorm 246
AVOID DELAY
Lot Number
Street and Number
Owner
Occupied as
Number of Motors
S
F
REMARKS •
Progress
Will inspect again
Rough Wi a; : g
FINAL No
Corrected
(Applicant sign here)
{ Bloc
Received by Inspector
CERTIFICATES
Temporary T)ays
'Approved Letter
Date Issue
Electrical •Department of the `City of Miami
Desiring your Certificate of Approval, application is hereby made
for an inspection of the electric installation in the premises stated be-
low, f'or which undersigned agrees to correct any infractions of the
National Electrical-Code an Citrlialles pointedout by Inspector.
_: LOCATION
BY GIVING FULL AND ACCURATE INFORMATION. A SPACES M BE FILLED OR APPLICA-
N WILL BE RETURNED
Numbe
H P
APPLACATION
Occupant
Building —New or Old (underline which). Work — Additional or New (underline which).
®9
SPECIFICATIONS
H. P. of each motor
Volts —Amps
Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus
I
Greatest Number of Lights on One Branch
✓ -12.00
(Nature of Work) Open — Concealed Knob— Mldg.— Conduit
Correct
Correct
DE c E IVE
Fee re emitted
Will be finishe
( Address
j l Street
1
Work will be started ! ►iL . :
,/?
FOR INSPECTORS USE ONLY �+
nspected // — /S 2. 7'
Nc;?
DATE i' :. 192
919
Phase
cation
quip
Electric Light Co
lemarks
Inspector
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your Certificate of Approval, application is hereby made for an Inspection of the electrical installa-
tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National
Electrical Code and the City Rules pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.
ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED.
Lot Number Block Number
Street and Number f Side
Owner Occupant. °°'�
Occupied s_q
Building —New or Old (underline which). Work — Additional or New (underline which).
FLOOR
Basemeht
1st Floor
2d Floor
3d Floor
4th Floor
5th Floor
6th Flwr
7th Eoor
8th Floor
Attic
REMARKS-
Work will be started will be finished
Addresq
(Applicant sign here) *' ✓ {
Street
SPACE / BELOW FOR INSPECTOR'S USE ONLY
Received by Inspector Inspected
CERTIFICATES
Progress
Will inspect again
Rough Wiring
FINAL' No
NUMBER OF
LIGHTS
Form 155
Corrected
Temporary Days
Approved Letter
Date Issued
CEILING OUTLETS
Correct Location
Correct Equipment
DEFECTIVE
Time
Allowed:
APPLICATION No.
FOR FIXTURE WORK ONLY
flay
SPECIFICATIONS
Date * 192
BRACKET OUTLETS
NUMBER OF CIRCUITS
Electric Light Co
Fee remitted
Remarks
Inspector
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Z b 0 Date 0l ZP1/4
Application is hereby made for the approval of the detailed statement of the plane 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, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatfoni 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 ?721 . /L
No. /' gam
Registered Architect and /or Engineer
Employing Electrician's Name / � ��C - ' '(- No 3.ff/ a) Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No..Ie . .Q.. ����.... ft"
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs.
Service
Underground
Size Feedera.?° ✓ Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADS. I
QO
es.
(Signed) t 1 t .a.`eo
(Signed)
Street
:>
No. of Stories
c'
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.
aster 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
PLUO
REC[' •'T'S
FIXTURES
NO LAMS
Re•RIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
NEATER
W. NEAT.
CONN.
SPACE
NEATER
STRIP
NEATER
TOTAL
CONTR.
LIST
CHICK
ENT.
SW.
DIST.
CAB.
SERVICE
TEM •.
S[RVICty
PERM. }
/'
MOTOR.
0.1 HP
MOTOR{
1.5 NI.
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
,
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Z b 0 Date 0l ZP1/4
Application is hereby made for the approval of the detailed statement of the plane 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, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatfoni 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 ?721 . /L
No. /' gam
Registered Architect and /or Engineer
Employing Electrician's Name / � ��C - ' '(- No 3.ff/ a) Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed— No..Ie . .Q.. ����.... ft"
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs.
Service
Underground
Size Feedera.?° ✓ Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADS. I
QO
es.
(Signed) t 1 t .a.`eo
(Signed)
Street
:>
No. of Stories
c'
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.
aster 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.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
K �r
Lot
PERMIT N° 10657
Work to be performed under this Permit
Bl.
} � i/7 t_l °' f t i
Subdi-
vision
Value of
Project $
DATE 195
1
Contractor's
License No
Amt. of -, f
r r
Permit $ s ,
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.
Signed: r ` _ R`�
INSPEC R • ' N'
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, ot°atements 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.
CONTRACTOR OR BUIMER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
f
MIAMI SHORES VILLAGE, FLORIDA
DATE . y
''PERMIT N? 5889
Work to be performed under this Permit
Contractor's
License No. .f
194
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of Value of Amt. of
Building j // (� �. f ` Projec 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 appli-
cation 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 fie assumes respon-
sibility for work done by his agents, servants or employees. , r , .. -
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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor
or Builder
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
``'PERMIT N? 5916
Work to be performed under this Permit ` a
I ,
Architect
Bl.
Signed:
Subdi-
vision
CONTRACTOR OR BUILDER BY
DATE -; 194
r
r
License No. �
Address o f Value of Amt. of f '
Building / /1 ' ff Pro Permit }! •••••••••••• This permit is granted to the conVactor 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 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 statrinents or yecifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
INSPECT(iR { '
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to tl e 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
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Work to be performed under this Permit
Architect
Contractor
or Builder �'`�' °� j - ei
Legal Lot
Description
Address of
Building
Bl.
MIAMI SHORES VILLAGE, FLORIDA
DATE / r r' 194
111; -w
ERM1T N2 5916
Subdi-
vision
Value of
Project
This permit is granted to e co actor or .`lder 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 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 responsibili for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drrwin or the sta ,mends o pecifications and that e assumes respon-
sibility for work done by his agents, servants or employees.
Signed:
In consideration of the issuance to me of this permit I agree to perform the work covered hereunde ' in compliance with at1 o and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritie f Miami Shor , Vlllate.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or emplcyee.
. m om
40
fr
CONTRACTOR OR $U BY AUTHORITY
Contractor's
License No.
/
Amt. of
Permit
t '
_ Slvi CH LIGHT 1 FLUG
3 L'TLE OUTLETS RECE•P'T
FIXTURES
No.LAMPE
REFRIG.
OUTLET,
IRCN
OUTLET
RANG_
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CON V.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
111
ENT. GIST.
S'.Y. 1 CAB.
SERVICE
; LF1'.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CON "R.
Permit No.
APPLICATION FOR ELECTRICAL PERMIT
Application: is _:Eby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein dcccribed. This application is made in compliance and conformity with the Building Ordnance of Miami Shores Village, Florida,
and all prcvisic :,s of the La of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of 'vI :? n l, , ; GL:age sha'.l be. complied with, whether herein specified or not A copy of approved plans and specifications must be kept at
building during progress cf work.
Owner's N_ne and Address
Registered A rchitcct and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be per formed and patpcse of building (By Floors)
Nev.
Amoant of Permit 1
Rcsodcling
O, crhead Size Feeders Conduit_____ —
Service ' rground
Type of Installat :on— Conti,.=r_ bing
The undcrsign._1 applicant for this building permit does hereby ce
under the Florida T.7crkmcn's Compensation Act, wing Section 5966,
plied with the provisions thereof, and will require similar compliance
po_fcrm ed ender this permit; and will post or cause to be posted for
rquired by the Act The under signed azrc ^s to employ only such
licensed by Miami Shores Village.
es.
My Commission Expirzs
tvliAM! SHORES VILLAGE,
ELECTRICAL INSPECTION DEPARTMENT
No.
No Street____
__Block
Addition
Main Sw ___— Am.ns. — — _ Main Fuses___ — ___ —_
B.I..L
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before mc, the undersigned authority, a notary public, duly authorized
° epa : rs
(Signed)
Date__.--------- : -___-
Strl.
No. of Stories
Electrical Inspector.
rtify that he understands and acc his obligations as an employer cf labor
Compiled Generzl Laws of Florida Permanent Supplement, and has corn-
from all contractors or sub - contactors employed by him in the work to be
inspection_ on the site of the 'vor.I. such public notice or notices as are
sub - contractors, ou work to be performed under this permit, as are
Master Electrican.
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 tae same, and that all facts
therein by him stated are true.
Notary F ublic. St, _ of. Florida
...- n^necrc-t fez of C`.CO will be raac__ vyben such re- inspection is made necessary by imp; 1. -: not ca `or inspection, or faulty
materials 2%7: or ,rerkm'.nship.
Service Overhead
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
&5.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No t Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herwith 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
f
Owner's Name and Address 0_1 i
No Street
Registered Architect and /or Engineer
Employing Electrician's Name r ' No Street
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 �Additi Repairs No. of Stories
Underground Size Feeders Conduit Main Sw Amps Main Fuses Amp,
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
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 cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notice,
be performed under this permit, as are
(Signed)
id1aster 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 fall'
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG FIXTURES
RECE'P'T'S NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEOT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
UST
�.rt
L_
;i r ,
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRAN'3.
RADIO
TOTAL
CONTR.
LIST
CHECK
Service Overhead
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE.
&5.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No t Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herwith 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
f
Owner's Name and Address 0_1 i
No Street
Registered Architect and /or Engineer
Employing Electrician's Name r ' No Street
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 �Additi Repairs No. of Stories
Underground Size Feeders Conduit Main Sw Amps Main Fuses Amp,
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
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 cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notice,
be performed under this permit, as are
(Signed)
id1aster 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 fall'
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
0
Work to be performed under this Permit
f
MIAMI SHORES VILLAGE, FLORID
DATE
PERMIT N° 5889
Legal Lot Bl.
Description
Address of / Value of Amt. of
4 Project
Building_ Permit
■
This permit granted to the ontractor 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 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 mur icipal authorities. This Permit may be revokea
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 drawin4s or in tilt statements or specifications and liat )ie assumes respon-
sibility for work done by his agents, servants or employees. (-- ,,, ...re) ,
4 By
In consideration of the issuance to me of this permit I agree to perfonn the work covered hereunder in compliance with-all L ordinances andlregylrilions
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoritits of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Subdi-
vision
Contractor's
License No. i
4
194 :Z
1
Permit
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
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)
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss'
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
No._ • Street
Date
New Building Remodeling Addition.. Repairs__
Servi Overhead Size Feeders Conduit._
_ _ _ Main Sw._ Amps.
Type of Installation—Conduit ___ Tubing B.X.L._____________.Metal Moulding
(Signed)
Main Fuses
Notary Public. State of Florida
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 agrees to employ only such sub - contractors, on work to '3e performed under this permit, as are
licensed by Miami Shores Village.
'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, or faulty
materials and /or workmanship.
Amps.
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
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
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)
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss'
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
No._ • Street
Date
New Building Remodeling Addition.. Repairs__
Servi Overhead Size Feeders Conduit._
_ _ _ Main Sw._ Amps.
Type of Installation—Conduit ___ Tubing B.X.L._____________.Metal Moulding
(Signed)
Main Fuses
Notary Public. State of Florida
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 agrees to employ only such sub - contractors, on work to '3e performed under this permit, as are
licensed by Miami Shores Village.
'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, or faulty
materials and /or workmanship.
Amps.