ELECTRICALPermit No....::....t
r %
V
Owner's Name and Address
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 4
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.
) No Street
Employing Electrician's Name ..6.: ^ %L. N '�` '� � 7 7 ',.. No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No • '/ 01/ Street 1 ' -
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
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
My Commission Expires
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understancfS and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanzn2 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 subcontractors, on work to be performed under this permit, as ace
licensed by Miami Shores Village.
(Signed) .� J�? . .:c
Maser 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.
Notary Public, State of Florida.
NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WAVER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
ST
r'
�
_
/�
-
tS
` J
r
TOTAL,
CHECK
� -, _
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
�$
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRAMS,
RADIO
CONTR.
LIST
j- 7'��4 ( /
,. - � �. jV
,i4, // �"
CHECK
/ G ∎ ->
Permit No....::....t
r %
V
Owner's Name and Address
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 4
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.
) No Street
Employing Electrician's Name ..6.: ^ %L. N '�` '� � 7 7 ',.. No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No • '/ 01/ Street 1 ' -
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
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
My Commission Expires
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understancfS and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanzn2 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 subcontractors, on work to be performed under this permit, as ace
licensed by Miami Shores Village.
(Signed) .� J�? . .:c
Maser 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.
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.
BUILDING ❑
ELECTRICAL
PLUMBING ❑
ROOFING
Owner of
Building
Architect
- ontractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 14551
❑ Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No.
Amt. of
Permit $
195 —
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition uuon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsfoility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
Df
f
for
er
ion
Lot
gl.
Subdi-
vision
of
f
Value of
Project
$
Amt. of
Permit
$
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Buildin
Architec
Contrac
or Build
Legal
Descrip
Addres
Buildin
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 13890
Work to be performed under this Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed•
DATE
195
Contractor's
License No
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
ROOFING
Owner
Building
Archite
Contrac
or Build
Legal
Descript
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT IT? 13711
DATE
Work to be performed under this Permit
Signed:
BY
195
Contractor's
License No
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.
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.
SY AUTHORITY
t ...>
or
�r
ion
Lot
BL
Subdi-
vision
of
Value of
Project
$
Amt. of
Permit
$
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Building
Archite
Contrac
or Build
Legal
Descript
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT IT? 13711
DATE
Work to be performed under this Permit
Signed:
BY
195
Contractor's
License No
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.
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.
SY AUTHORITY
BUILDING ❑
ELECTRICAL PERMIT N9 PLUMBING ❑ N . '7 5 8 5
ROOFING ❑
C1
Owner of
Building
Architect _
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
CONTRACTOR OR BUILDER
Bl.
Work to be performed under this Permit__ __
f
Subdi-
vision
Sq. Ft
Value of
Project $
DATE 195
Contractor's
License No. ___�_
Amt. of
Pormit `u
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 u'^on 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 than: he assumes responsibility for work
done by his agents, servants or employees.
Signed- y 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 Sho-cs Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
17
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.
Registered Architect and /or Engineer
Employing Electrician's Name...&/.71-2L..a . ro..?J/ `L Street. :.4..4r�.p.1ia.,
Location and Legal Description Lot /7- 11 r/ Block 3 ...(1 Subdivision
Street and Number where work is to be performed—No 2, .ea
State work to be performed and purpose of building (By Floors)
Owner's Name and Address..4A
APPLICATION FOR ELECTRICAL PERMIT
New Building Remodeling Addition
Service Overhead Site Feeders
Underground
Type of Installation—Conduit....
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
88.
MI,IMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Condui L a
t %/�..Q/�.1 Sw �
Tubing
No IVD ,
Repairs
•— f ;
Amps y Main Fuses Amps
B.X.L Metal Moulding
!t , z °.
(Signed) 4r.�
Goa -
Date ��
�j Street /
Stree 7
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts Ids 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.
Wy24
No. of Stories
Master 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•inspcction fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P•T's
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOT
CONTR.
LIST
✓`
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0.1 HP 1.5 HP
NEON
TRANS.
RADIO
TO
CONTR.
LIST
Q° `� r
P / 7OP
CHECK
t
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.
Registered Architect and /or Engineer
Employing Electrician's Name...&/.71-2L..a . ro..?J/ `L Street. :.4..4r�.p.1ia.,
Location and Legal Description Lot /7- 11 r/ Block 3 ...(1 Subdivision
Street and Number where work is to be performed—No 2, .ea
State work to be performed and purpose of building (By Floors)
Owner's Name and Address..4A
APPLICATION FOR ELECTRICAL PERMIT
New Building Remodeling Addition
Service Overhead Site Feeders
Underground
Type of Installation—Conduit....
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
88.
MI,IMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Condui L a
t %/�..Q/�.1 Sw �
Tubing
No IVD ,
Repairs
•— f ;
Amps y Main Fuses Amps
B.X.L Metal Moulding
!t , z °.
(Signed) 4r.�
Goa -
Date ��
�j Street /
Stree 7
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts Ids 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.
Wy24
No. of Stories
Master 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•inspcction 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
n
9
STATE OP FLORIDA, }
COUNTY OF DADE.
GS.
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 work.
Owner's Name and Address No Street
Registered Architect and /or Engineer
•
Employing Electrician's Name t @
Location and Legal Description Lot c5 Block Subdivision 'N , C;
o
Street and Number where work is to be performed —No B �� G
State work to . be performed and purpose of building (By Floors)
New Building -¶ Remodeling Addition Repairs No. of Stories
Service
Overhead
Underground Size Feeders Conduit / e_ Main Sw Amps Main Fuses Amps
Type of ,Installation— Conduit ,1'ubin B.X.L .Metal Moulding
Amount of Permit $./ (Signed)
No
Date /i
Street
Street / 1/
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he unders aft.,y(ds and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) Al
Master 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 ancli roro workmanship.
SWITCH
OUTLETS
LIGHT
OUTLG7S
PLUG
RECE'P'7'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
n
%
�_ -
1
, _ '
o1
4- ji
�,_' U
u _%—
SERVICE
TEMP.
p Y
C �Jc�
SERVICE
PERM.
D
� %,
1
'� 2
MOTORS
0.1 HP
MOTORS,
1•8 HP
QQom�
r� F�'
NEON
TRANS.
RADIO
TOTAL
CHECK
ENT.
SW.
DIST.
CAB.
CONTR.
LIST
.
CHECK
, :�
�:�
Permit No
n
9
STATE OP FLORIDA, }
COUNTY OF DADE.
GS.
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 work.
Owner's Name and Address No Street
Registered Architect and /or Engineer
•
Employing Electrician's Name t @
Location and Legal Description Lot c5 Block Subdivision 'N , C;
o
Street and Number where work is to be performed —No B �� G
State work to . be performed and purpose of building (By Floors)
New Building -¶ Remodeling Addition Repairs No. of Stories
Service
Overhead
Underground Size Feeders Conduit / e_ Main Sw Amps Main Fuses Amps
Type of ,Installation— Conduit ,1'ubin B.X.L .Metal Moulding
Amount of Permit $./ (Signed)
No
Date /i
Street
Street / 1/
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he unders aft.,y(ds and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) Al
Master 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials ancli roro workmanship.
Permit No
Service Overhead
A
tr
sa.
I S ORES VILLA E
ELEC4 OOAL ENSPE CTION ERARTM1f NT
FL ATII
e,L
rF E =' ELECTRIC k,LL = -ER . IT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building en other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Evade,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address._ :G t/ Y 4 ' • h No �` `% 4/ ' Street._.....
Registered Architect and /or Engineer /
Employing Electriciaii's Name
Location and Legal Description Lot Block Subdivision.
Street and Number where work is to be performed —No 7 . AA Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling 6^a Addition Repairs No. of Stories
i
4/C No /'' �.
Underground Size eedera Conduit Main Sw Amps Main Fuses . Maps
Type of Installation — Conduit Tubing ...................B.X.L Metal Moulding
../.1.',..4.2.4- :Z• `,,-. «4_ - S «1T4'..! .... .(.:r. du ... ..._ _.... ..ca.. .'. G:e:e2ti:C'.d.: /.•!. d ' o i/ /, ‘;,-
' e✓ 0 S'Y i'. P .H/=,A – e ,,
Amount of Permit S$ /c_ ), !;;
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obligations ao an employer of
labor under the Florida Workmen's Compensation Act. being Section 3966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such suh•contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date 1'
r � st!Wt ..
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
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 facto
therein by him stated are true.
My Commission Eupireo Notary Public, State of Florida
NOTE: A re-inspection fee of SIAM will be made •hen such re-inspection is made necerriary by improper notice for inspection, or faulty
materials and /or workmanship.
SWIVCH
OUYLETO
LIGHT
OUTLETS
PLUO
RaCC•P'V'O
FI3TURCS
NO. LAMPS
RaRRie.
OUTLAY
IRON
OUTLET
RANGE
OUTLET
RANCE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
MEATIER
STRIP
HEATER
TOTAL
CONTR.
L10Y
■
CNECR
ENT.
OW.
DIST.
CAD.
SERVICE
Taw
SERVICE
PORN.
MOTORS
0.1 HP
Moron('
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIOY
CHaCG
Permit No
Service Overhead
A
tr
sa.
I S ORES VILLA E
ELEC4 OOAL ENSPE CTION ERARTM1f NT
FL ATII
e,L
rF E =' ELECTRIC k,LL = -ER . IT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building en other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Evade,
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._ :G t/ Y 4 ' • h No �` `% 4/ ' Street._.....
Registered Architect and /or Engineer /
Employing Electriciaii's Name
Location and Legal Description Lot Block Subdivision.
Street and Number where work is to be performed —No 7 . AA Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling 6^a Addition Repairs No. of Stories
i
4/C No /'' �.
Underground Size eedera Conduit Main Sw Amps Main Fuses . Maps
Type of Installation — Conduit Tubing ...................B.X.L Metal Moulding
../.1.',..4.2.4- :Z• `,,-. «4_ - S «1T4'..! .... .(.:r. du ... ..._ _.... ..ca.. .'. G:e:e2ti:C'.d.: /.•!. d ' o i/ /, ‘;,-
' e✓ 0 S'Y i'. P .H/=,A – e ,,
Amount of Permit S$ /c_ ), !;;
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obligations ao an employer of
labor under the Florida Workmen's Compensation Act. being Section 3966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such suh•contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Date 1'
r � st!Wt ..
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
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 facto
therein by him stated are true.
My Commission Eupireo Notary Public, State of Florida
NOTE: A re-inspection fee of SIAM will be made •hen such re-inspection is made necerriary by improper notice for inspection, or faulty
materials and /or workmanship.