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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.