ELECTRICALBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
w �
Architect
Contractor
or Builder
Legal
Description
Address of /
Building / i.
This permit is granted to the contractor
application herefor in strict compliant* with
with any plans, drawings, statements of
be revoked at any time if the work is *ot
upon which this permit is granted is dta
the ordinances and regulations p
that he assumes responsibility for work
Lot
SHORES VILLAGE, FLORIDA
DATE
N? 3255
under this Permit
Signed
Value of
Project
Subdi- ,00 O\
vision .w ! 7;tC
License
0 441;40,
By
INSPECTOR
AUTHORITY
4 Atnt. of
Q`) "m I Permit • co
arced a ve to construct the building or to 'Iatall the equipment or device described in the
pertaining thereto and with the understanding that the work will be perforated in compliance
ay have been submitted to and approved by the proper municipal authorities. This may
with such ordinanccee"�. of if the plans are changed without autlorisatioi . further
contractor or bit' der arced above assumes the responsibility for ''th
hereby whether s • • < .) 1 draw tgs or in the statem
a nts or employees.
In consideration of the iseuanoe M IMO
tions pertaining thereto and in strict
Village. In accepting I ammo
agree to perform work covered hereunder in compliance with 1 ordinances and regule-
drawings, s rr eats or specifications submitted to the proper authorities of Miami shores
work done b either m self, my agent, servant or employee.
t '
BUILDING
ELECTRI
PLUMBING
The folioai
Inspector's
WORK
DONE BY:
•
: REQUESTED
•
—
•
- -
•
•
•
•
9
•
•
•
•
•
•
•
•
•
•
•
•
•
ready for Inspection:
a
a
9
a
9
WILL READY
041.4A
G
#.7r/r.
J
BUILDING
ELECTRIC
PLUMBING
The f of l owing
Inspector'* ep its
AD:
00■100M MOP
• WORK
• DONS BY
• REQUESTED
reader for Inspection
e lc
• •
•
____•■••• __
.
• •
d
WILL BE READY
f
•
4
•
•
f
r •
.L
JOB: / - G',.�-
•
BUILDING
•
ELECTRICAL,
PLUMBING
i
• • WORK
• DONE BY
Inspector's Report: -
RE ,UESTED
•
•
•
•
•
The following is ready for Inspecti on:
•
•
WILL BE READY
•
Service Overhead Size Feeders
U
Amount of Permit $
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE.
Registered Architect and /or Engineer __
ss.
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
My Commission Expires
MIAMI SHORES VI L,LAG E
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 sr ecifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with Th.: 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 cope of approved plans and specifications must be kept at
building during progress of work, /
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.
t No.j -! Street 4__E - - -_ / - ( % - --
7 - --
Block
(Signed)
No
Subdivisi
New Building _ Remodeling Addition Repairs
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that 1 e is the
of the above described construction, that he has carefully read the foregoing application, a id that he did sign
therein by him stated are true.
No. of Stories
Conduit_.. Main Sw Arips. __ Main Fuses_ _________ ____________ Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
_ - • i
Elect ' al Inspector.
reify that he understancs and accepts his obligations as an employer of labor
Compiled General Law ; of Florida Permanent Supplement, and has com-
from all co ctors or II - contractors employed by him in the work to be
inspecti on the si of a rk such public notice or notices as are
sub- ntractors, o w ork ormed under this permit, as are
IFS" LElectncan.
authorized to adminisi er oaths and take acknowledgments, personally
Nc to ry Public, State of Florida
the same, and that all facts
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.
W 4TER
HEATER
W. HEAT.
CONN.
SPACE
HEA TER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
S CE
P M.
MOTORS
O - P
MO TOR
I 11
NEON
TRANS.
L /
RADIO
TOTAL
CONTR.
LIST
- 4 t,
'mill
CHECK
CHECK
Service Overhead Size Feeders
U
Amount of Permit $
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE.
Registered Architect and /or Engineer __
ss.
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
My Commission Expires
MIAMI SHORES VI L,LAG E
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 sr ecifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with Th.: 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 cope of approved plans and specifications must be kept at
building during progress of work, /
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.
t No.j -! Street 4__E - - -_ / - ( % - --
7 - --
Block
(Signed)
No
Subdivisi
New Building _ Remodeling Addition Repairs
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that 1 e is the
of the above described construction, that he has carefully read the foregoing application, a id that he did sign
therein by him stated are true.
No. of Stories
Conduit_.. Main Sw Arips. __ Main Fuses_ _________ ____________ Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
_ - • i
Elect ' al Inspector.
reify that he understancs and accepts his obligations as an employer of labor
Compiled General Law ; of Florida Permanent Supplement, and has com-
from all co ctors or II - contractors employed by him in the work to be
inspecti on the si of a rk such public notice or notices as are
sub- ntractors, o w ork ormed under this permit, as are
IFS" LElectncan.
authorized to adminisi er oaths and take acknowledgments, personally
Nc to ry Public, State of Florida
the same, and that all facts
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
f 1
Permit No _- __f___ - - - - -- Date_ - S2�- f,_ -- - -- / - ,
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer ___>"y .. St
Employing Electrician's Name
Location and Legal Description Lot
�1 ► 24_'lltf t a - No J' 'p
Block -r
Street and Number where work is to be performed —No. L-- _ - -- . jl/
State work to be performed and purpose of building (By Floors) it° 4 ti
New Building
x
Amount of Permit $ /'' 6C
STATE OF FLORIDA,
COUNTY OF DADE. f
SS.
My Commission Expires
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity t'ith the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shore; Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
No. .__ 17
Remodeling
Conduit_!! _ Main Sw
Addition
;c
Service Overhead
tme Size Feeders__
Type of Installation -- Conduit Tubing__ B.X.L.___ Metal Moulding
Amps. __— _____________ Main Fuses �� D _Amps.
(Signed) •�:�
, ' Z' Street__9
Subdivision_
(Signed) 1r ' 1 , ��+/ 1/44 -- - - -- -
"�'� Master Electrican.
"�
' 4, y • ,
Notary Public. State of Florida
_A/fit'reet_ --
No. of Stories_ _ -_ Z
Ele 6cal Inspector.
The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contra:tors 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 :he 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 say; 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 n 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
CON J.
WATER
HEATER
W. HEAT,
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
--�� --
CONTR.
LIST
r i
h
X.
/ t
/
2
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTOr:S
0-1 H"
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
/
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
f 1
Permit No _- __f___ - - - - -- Date_ - S2�- f,_ -- - -- / - ,
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer ___>"y .. St
Employing Electrician's Name
Location and Legal Description Lot
�1 ► 24_'lltf t a - No J' 'p
Block -r
Street and Number where work is to be performed —No. L-- _ - -- . jl/
State work to be performed and purpose of building (By Floors) it° 4 ti
New Building
x
Amount of Permit $ /'' 6C
STATE OF FLORIDA,
COUNTY OF DADE. f
SS.
My Commission Expires
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity t'ith the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shore; Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
No. .__ 17
Remodeling
Conduit_!! _ Main Sw
Addition
;c
Service Overhead
tme Size Feeders__
Type of Installation -- Conduit Tubing__ B.X.L.___ Metal Moulding
Amps. __— _____________ Main Fuses �� D _Amps.
(Signed) •�:�
, ' Z' Street__9
Subdivision_
(Signed) 1r ' 1 , ��+/ 1/44 -- - - -- -
"�'� Master Electrican.
"�
' 4, y • ,
Notary Public. State of Florida
_A/fit'reet_ --
No. of Stories_ _ -_ Z
Ele 6cal Inspector.
The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contra:tors 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 :he 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 say; 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 n necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No �[..1 ? if)
Amount of Permit
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION El E:PARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date r `° 1 •
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 w.th 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. A
Owner's Name and Address
Registered Architect and /or Engineer At
Employing Electrician's Name A.Aer4Vk No..._. Street
Location and Legal Description Lot Block
as.
My Commission Expires
No Street
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 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
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he ur derstands 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 ail 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•contracto:s, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Subdivision
Street...]
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE:
Before me, the undersigned authority, a notary public, duly authorized to a !minister oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says '.hat 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.
Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is mace 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
/
v
CHECK
n ��
g
i� _.
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•0 HP
NEON
TRANS.
RADIO
TOTAL
LIST
( CONTR.
---I---
1 (A
F.
+�.d�'
d ��
CL
/J
CHECK
°L —
Permit No �[..1 ? if)
Amount of Permit
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION El E:PARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date r `° 1 •
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 w.th 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. A
Owner's Name and Address
Registered Architect and /or Engineer At
Employing Electrician's Name A.Aer4Vk No..._. Street
Location and Legal Description Lot Block
as.
My Commission Expires
No Street
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 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
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he ur derstands 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 ail 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•contracto:s, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Subdivision
Street...]
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE:
Before me, the undersigned authority, a notary public, duly authorized to a !minister oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says '.hat 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.
Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is mace necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans a td 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 No..__.�� -?
Registered Architect and /or Engineer _ `- _ –
Employing Electrician's Name Q1=:1 t ��._;. c' -C
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing —_ B.X.L. Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
(Signed)
fir
Date ' r CC1_ . 1• l ■
Street k ? - , /.6_ <"
No. . ; � -:
- -- �--------- --- ------ - - -- -- Street_
Location and Legal Description Lot ______Block Subdivision_ —_
'� '-
Street and Number where work is to be performed —No / 2 L _ Street y? ', -4
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs_
Main Sw.______ —_ __ Amps.
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 Genet al 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 :he 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.
(Signed) _____ - --
No. of Stories
Main Fuses _________Amps.
// ,
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 appli:ation, and that he 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 faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
CHECK
/�•t 9 (° r
_., „
re„
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTOR:
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans a td 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 No..__.�� -?
Registered Architect and /or Engineer _ `- _ –
Employing Electrician's Name Q1=:1 t ��._;. c' -C
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing —_ B.X.L. Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
(Signed)
fir
Date ' r CC1_ . 1• l ■
Street k ? - , /.6_ <"
No. . ; � -:
- -- �--------- --- ------ - - -- -- Street_
Location and Legal Description Lot ______Block Subdivision_ —_
'� '-
Street and Number where work is to be performed —No / 2 L _ Street y? ', -4
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs_
Main Sw.______ —_ __ Amps.
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 Genet al 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 :he 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.
(Signed) _____ - --
No. of Stories
Main Fuses _________Amps.
// ,
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 appli:ation, and that he 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A cc it- f- spprrfvett-pt211 ci$l��Tidlts�mrcrbe kept at
building during progress of work.
Owner's Name and Address _-
Registered Architect and /or Engineer, - }
Employing Electrician's Name. ___
Location and Legal Description Lot ___-_______
Street and Number where work is to be performed —No.
No. $ _`
_Block g _ _T _____ Subdivision_ ! $ 4
_�►^� a_ street 9.A
State work to be performed and purpose of building (By Floors)
ieX New Building Remodeling Addition
Overhead
Service nnli Size Feeders__ Conduit___ Main Sw.___ ?_ 0. 0___- Amps. Main Fuses O 0 _Amps.
Type of Installation= C�___________ Tubing_, B.X.L. Metal Moul ding_ _�______________-- __— _________�
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. j ss'
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, thaft he has carefully read the
therein by him stated are true.
.My Commission Expires
NOTE: A re- inspection fee of $ 1.00 will be made when such
materials and /or workmanship.
� I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
(Signed)
Ele cal Inspector.
rtify that 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)
A 9 /1/ Street__9
Date__ 5!^ • dN - 6 / ,/
Notary Public. State of Florida
ice+
No. of
stgeled
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
deposes and says that be is the
foregoing application, and that be did sign the same, and that all facts
re- inspection is made necessary by improper notice for inspection, or faulty
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXT .;.;6
NQ' } -.
I - h'tl
REFRIG.
OUTLET
I RON
OUTLET
RANGE
OUTLET
7.
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
C L ST
^
si.
/
2
/
3
9
CHECK
yy t
_
f
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
I PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RA DIO
TOTAL
CONTR.
IST
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A cc it- f- spprrfvett-pt211 ci$l��Tidlts�mrcrbe kept at
building during progress of work.
Owner's Name and Address _-
Registered Architect and /or Engineer, - }
Employing Electrician's Name. ___
Location and Legal Description Lot ___-_______
Street and Number where work is to be performed —No.
No. $ _`
_Block g _ _T _____ Subdivision_ ! $ 4
_�►^� a_ street 9.A
State work to be performed and purpose of building (By Floors)
ieX New Building Remodeling Addition
Overhead
Service nnli Size Feeders__ Conduit___ Main Sw.___ ?_ 0. 0___- Amps. Main Fuses O 0 _Amps.
Type of Installation= C�___________ Tubing_, B.X.L. Metal Moul ding_ _�______________-- __— _________�
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. j ss'
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, thaft he has carefully read the
therein by him stated are true.
.My Commission Expires
NOTE: A re- inspection fee of $ 1.00 will be made when such
materials and /or workmanship.
� I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION FOR ELECTRICAL PERMIT
(Signed)
Ele cal Inspector.
rtify that 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)
A 9 /1/ Street__9
Date__ 5!^ • dN - 6 / ,/
Notary Public. State of Florida
ice+
No. of
stgeled
Master Electrican.
authorized to administer oaths and take acknowledgments, personally
deposes and says that be is the
foregoing application, and that be did sign the same, and that all facts
re- inspection is made necessary by improper notice for inspection, or faulty
Permit No
Street and Number where work is to be performed —No
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
// APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor ♦ ,
Owner's Name and Address __ __ _ _:_ 4 tett No.44 __ Street_ E
Registered Architect and /or Engineer
• `l �v
Employing Electrician's Name _____ _ No
Location and Legal Description Lot_' (Q Block
■
,
State work to be performed and purpose of building (By Floors)
Date
New Building Remodeling Addition Repairs
(Signed
u v —
Notary Public, State of Florida
4
No. of Stories
Street A/1
_
S bdi .. — --
Service
Overhead Size Feeders Conduit Main Sw Amps. _______ Main Fuses _____ ___ — _Amps.
Underground
___________Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Elect Inspector.
The undersigned applicant for this building permit does hereby certify t un.lerstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General of Florida Permanent Supplement, and has com-
plied with the provisions thtreof, and will require similar compliance from all c at tors or su ontractors employed by him in the work to be
performed under this permit; and will post or cause tq be posted for inspect on the s' of t k such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub ontractors, owork ormed under this permit, as are
licensed by Miami Shores Village. /
( 4aigeer e./ tild____________
Master Electricaa.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to ldminister oaths and take acknowledgments, personally
appeared _ -- —
to me well known, and who, being by me first duly sworn, upon oath deposes and say; 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 m acle 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
CONK.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
S CE
P M.
MOT •R'3
0- F
MOTOR
1 -5 H
NEON
TRANS.
/ RADIO
TOTAL
CONTR.
LIST
. Oil
,
CHECK"
i
MM
Permit No
Street and Number where work is to be performed —No
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
// APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of wor ♦ ,
Owner's Name and Address __ __ _ _:_ 4 tett No.44 __ Street_ E
Registered Architect and /or Engineer
• `l �v
Employing Electrician's Name _____ _ No
Location and Legal Description Lot_' (Q Block
■
,
State work to be performed and purpose of building (By Floors)
Date
New Building Remodeling Addition Repairs
(Signed
u v —
Notary Public, State of Florida
4
No. of Stories
Street A/1
_
S bdi .. — --
Service
Overhead Size Feeders Conduit Main Sw Amps. _______ Main Fuses _____ ___ — _Amps.
Underground
___________Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Elect Inspector.
The undersigned applicant for this building permit does hereby certify t un.lerstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General of Florida Permanent Supplement, and has com-
plied with the provisions thtreof, and will require similar compliance from all c at tors or su ontractors employed by him in the work to be
performed under this permit; and will post or cause tq be posted for inspect on the s' of t k such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub ontractors, owork ormed under this permit, as are
licensed by Miami Shores Village. /
( 4aigeer e./ tild____________
Master Electricaa.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to ldminister oaths and take acknowledgments, personally
appeared _ -- —
to me well known, and who, being by me first duly sworn, upon oath deposes and say; 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 m acle necessary by improper notice for inspection, or faulty
materials and /or workmanship.