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485 NE 96 St (6)7 .7 Permit No a MIAMI SHOR a ;VILLAGE ELECTRICAL INSPECT O N 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 of 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 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. ee (( I '}. Owner's Name and Address `l �`� (e l (: 1 ! J R'� No 'Y S ® t� ST Ss Street 7 Registered Architect and /or Engineer .o h K xle Z.. t 1.1 /CIA Employing Electrician's Name 0 W N b n. l No Street Fats 0 Location and Legal Description Lot 1 9 i - Block a L Subdivision ' 5 ' S t c.T 1 11.:.3a Street and Number where work is to be performed —No T $s Street 0'6" l‘ � �' O1 '3 0 T State work to be performed and purpose of building (By Floors) A 4 O .' 417 4 /i Nt Cs tz C w t 1 s New Building Remodeling d Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding ,a -.. / (' te' Amount of Permit $ /. � N (Signed) (` , ‘, °lC= a Electrical Ipector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date ( / . q ../ STATE OF FLORIDA, t COUNTY OP DADE. I sa. 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 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 OU . LIGHT OUTLETS .7 PLUG RECE' ••T•S FIXTURES NO LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1-5 HP N EON TRANS. RADIO TOTAL CLS.R• -Z,o 1 $ � $TO Ala_ . CHECK 7 .7 Permit No a MIAMI SHOR a ;VILLAGE ELECTRICAL INSPECT O N 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 of 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 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. ee (( I '}. Owner's Name and Address `l �`� (e l (: 1 ! J R'� No 'Y S ® t� ST Ss Street 7 Registered Architect and /or Engineer .o h K xle Z.. t 1.1 /CIA Employing Electrician's Name 0 W N b n. l No Street Fats 0 Location and Legal Description Lot 1 9 i - Block a L Subdivision ' 5 ' S t c.T 1 11.:.3a Street and Number where work is to be performed —No T $s Street 0'6" l‘ � �' O1 '3 0 T State work to be performed and purpose of building (By Floors) A 4 O .' 417 4 /i Nt Cs tz C w t 1 s New Building Remodeling d Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding ,a -.. / (' te' Amount of Permit $ /. � N (Signed) (` , ‘, °lC= a Electrical Ipector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Date ( / . q ../ STATE OF FLORIDA, t COUNTY OP DADE. I sa. 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 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder -- i Legal Lot Description.._ MIAMI SHORES VILLAGE, FLORIDA PERMIT NY 1195 Work to be performed under this Permit r� DATE Subdi- vision Bl. J Value of Amt. of Address of - ' .•'" < Project !I Permit Building "' ,�:` 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 / plan, or drawings or,tn 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 regula- tions pertaining th to and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ng thi ermit I assume responsibility for all work done by either myself, my agent, servant or employee. i 11 COATR CTOR OR BUILDER / BY AUTIIORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect - - Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1508 Work to be performed under this Permit Subdi- vision DATE 194 Ltgal Lot Bl. Description Address of Building 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: 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 regula- ions 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. Value of Project Contractor's License No. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE PERMIT No. Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at l / by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. STATE OF FLORIDA, COUNTY OF DADE. ss. Amount of Permit $ 1 My Commission Expires • '1 '~ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT e ,! Permit No ' Date . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s4mitted 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 tompijpd -with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work... , 7 fj J .." , L f rj ♦_t. Owner's Name and Address No.___ Street t t° f — — No. `' r Street 1_ Location and Legal Description Lot____ J i , a __.,_._ .Block_ P —___ � ,,r Registered Architect and /or Engineer t! Employing Electrician's Name 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 .1 Overhead 1' ' +- ° Service Underground Size Feeders Cond Main S w �___ Amps. __ Main Fuses '' E ` Amps. 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 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 a 4f' th work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on wick to b performed under this permit, as are licensed by Miami Shores Village. (Slg,n - ! Street • Subdivision____._ Notary Public, State of Florida No. of Stories_ s i « 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. SWITCH OUTLETS ETS LI GHT UT TS PLUG RECE'P' yj'i FIXTURES � + j J�� REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. li s { J !! / l y / i . . �'� CHECK ENT. SW. : DIST. CAS. — ' ' 1 3 � �,f SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK STATE OF FLORIDA, COUNTY OF DADE. ss. Amount of Permit $ 1 My Commission Expires • '1 '~ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT e ,! Permit No ' Date . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s4mitted 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 tompijpd -with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work... , 7 fj J .." , L f rj ♦_t. Owner's Name and Address No.___ Street t t° f — — No. `' r Street 1_ Location and Legal Description Lot____ J i , a __.,_._ .Block_ P —___ � ,,r Registered Architect and /or Engineer t! Employing Electrician's Name 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 .1 Overhead 1' ' +- ° Service Underground Size Feeders Cond Main S w �___ Amps. __ Main Fuses '' E ` Amps. 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 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 a 4f' th work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on wick to b performed under this permit, as are licensed by Miami Shores Village. (Slg,n - ! Street • Subdivision____._ Notary Public, State of Florida No. of Stories_ s i « 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. SWITCH LIGHT PLUG FIXTURES OUTLETS OUTLETS RECE'P'T'S NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP TOTAL HEATER CONTR. LIST CHECK � I ENT. DIST. SERVICE SW. CAB. TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. 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, allinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whet r 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 -r. 4-1- Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No._ New Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Block State work to be performed and purpose of building (By Floors) Remodeling __(Signed) Date f f J..4' No. � { _w __,t Street.. 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 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 be performed under this permit, as are licensed by Miami Shores Village. / r ' / (Signed)_ 4 . My Commission Expires Notary Public, State of Florida 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. _____ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ____a " - -. - No .______ _____ ________________. Street Registered Architect and /or Engineer ____._�___�___.___«_ Employing Electrician's Name _�______�_______________� No __ Street____ Location and Legal Description Lot_ _ Block__ __r Subdivision_____ Street and Number where work is to be performed —No w Street 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. (Signed) 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 be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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. My Commission Expires Notary Public, State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. _____ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ____a " - -. - No .______ _____ ________________. Street Registered Architect and /or Engineer ____._�___�___.___«_ Employing Electrician's Name _�______�_______________� No __ Street____ Location and Legal Description Lot_ _ Block__ __r Subdivision_____ Street and Number where work is to be performed —No w Street 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. (Signed) 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 be performed under this permit, as are licensed by Miami Shores Village. (Signed) 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. My Commission Expires Notary Public, State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PERMIT No. I Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected Load H. P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. JOB: BUILDING ELECTRICAL : PLUMBING Inspector's Report: - • • REQUEST FOR • • • INSPECTION • WAS MADE WILL BE READY i ! i ADD: : WORK DONE BY: �I The following is ready for Inspection: - J NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR PERFORI:fING THE WORK. Permit No 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 Employing Electrician's Name Location and Legal Description Lot____- !__ —_— APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building___ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. s s. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT of the detailed statement of the plans and specifications herewith s mitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores 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 Remodeling No Street No. / Street .Block Subdivision /• Date Street Addition Repairs (Signed) ( (Signed Notary Public. State of Florida No. of Stories Overhead Service Underground Size Feeders ! Conduit 7 Main Sw J/ Amps. _— _____________ Main Fuses 1 Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding �— - — - - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts 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 sfi 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. i 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P T'S FIXTURES NO LAM P_S REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST o / ,. >,, r , 0 , � % - <. �. CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK r Permit No 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 Employing Electrician's Name Location and Legal Description Lot____- !__ —_— APPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building___ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. s s. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT of the detailed statement of the plans and specifications herewith s mitted for the building or other made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, Florida, all ordinances of Miami Shores 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 Remodeling No Street No. / Street .Block Subdivision /• Date Street Addition Repairs (Signed) ( (Signed Notary Public. State of Florida No. of Stories Overhead Service Underground Size Feeders ! Conduit 7 Main Sw J/ Amps. _— _____________ Main Fuses 1 Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding �— - — - - Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts 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 sfi 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. i 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.