615 NE 97 St (2)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building'
Architect
Contractor
or Builder
Legal
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 4-
PERMIT
Lot
B1
N° 7429
Contractor's
License No.
19 `."
Work to be performed under this Permit
C 77-4,‹ �• � � ...
.
Subdi-
vision
Address of = --t Value of 1 Amount of ` 2 -
Building s Project $ 1 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
( 'i .. ,,_
Signed. .04 \` 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'zegulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employed.
BY AUTHORITY
ABIOT
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE
PERMIT 9 77 6 +
N • / / 9 U Contractor's
License No. `' a
❑ Work to be performed under this Permit
Architect
Contractor ti
or Builder
Legal Lot
Description II Bl
Address of Value of
Building 4' " � Project $
Subdi-
vision
Amount of •P
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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed. - 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 ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY ABBOT ,�
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
".rchitect
= ontractor,,
?r Builder
Legal Lot
Description
a
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE " ' 19
PERMIT N9
B1
7325
Contractor's '" 7 ,,
License No.
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
Amount of 2
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 applica-
tion 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
, ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
ibility for work done by his agents, servants or employees.
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian O with all ordinances and regulations
•ertainfng thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
opting this permit I assume responsibility for all work dons by either, myself, my agent, servant or employee.
BY AUTHORITY AYBOT
Permit No 2.
Owner's Name and Address
Employing Electrician's Name
Location and Legal Description Lot
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
A PLOCATION FOR ELECTRICAL PERMIT
7- 4
Application is hereby made for the a plans specifications y pproval of the detailed statement of the lans and s ecifications herewith submitted for the buildin or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villa e, 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, w erein specifigd or not. A copy of approved plans and specifications must be kept at
building during progress of work. " " 6
.0
Date
®� .0 No �/r Street. ` ( 7'0
✓ 7/
(i 7/
Registered Architect and /or a'ngineer... ^..
f
/ No (] Street
• .� Block C Subdivision: E��` �_ G / .
�
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
1.W. 7O
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 $ (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors
work to be performed under this permit; and will post or cause to be posted for inspection on the of the work such
as are required by the Act. The undersigned agrees to employ only such sub - contractors, . g'. o •e performe
licensed by Miami Shores Village.
fl
ss.
My Commission Expires
(Signed
Notary Public, State of Florida
ctrical Inspector.
ns as an employer of
anent Supplement, and
employed by him in the
ubli notice or notices
is ermit, as are
STATE OF FLORIDA, l
COUNTY OF DADE. I
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.
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
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
e / d
CHECK
Permit No 2.
Owner's Name and Address
Employing Electrician's Name
Location and Legal Description Lot
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
A PLOCATION FOR ELECTRICAL PERMIT
7- 4
Application is hereby made for the a plans specifications y pproval of the detailed statement of the lans and s ecifications herewith submitted for the buildin or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villa e, 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, w erein specifigd or not. A copy of approved plans and specifications must be kept at
building during progress of work. " " 6
.0
Date
®� .0 No �/r Street. ` ( 7'0
✓ 7/
(i 7/
Registered Architect and /or a'ngineer... ^..
f
/ No (] Street
• .� Block C Subdivision: E��` �_ G / .
�
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
1.W. 7O
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 $ (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors
work to be performed under this permit; and will post or cause to be posted for inspection on the of the work such
as are required by the Act. The undersigned agrees to employ only such sub - contractors, . g'. o •e performe
licensed by Miami Shores Village.
fl
ss.
My Commission Expires
(Signed
Notary Public, State of Florida
ctrical Inspector.
ns as an employer of
anent Supplement, and
employed by him in the
ubli notice or notices
is ermit, as are
STATE OF FLORIDA, l
COUNTY OF DADE. I
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.
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
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
APPLIIC TION FOR ELECT( UGAL PERMIT
Date 3 -- ( a c i -
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. „ $Xj
Owner's Name and Address < No / Street !t' `
Registered Architect and /or Engi
Employing Electrician's Name ;�.. •��.
Location and Legal Description Lot + Block
Street and Number where work is to be performed—No 4/ O' w/ 4 d 9 7
MIAMI SHORES VILLAGE
Service Overhead Size Feeders Conduit Main Sw Amps
Underground
Type of Installation— Conduit Tubing
(Signed)
No
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
B.X.L ............ .. _ .. _.Metal Moulding
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors,
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE. Il
ss.
(Signed) ...
Main Fuses Amps
oaths
Street,(/'
Subdivision
Elec
ccepts his obligatio
of Florida Perm
subcontractors
of the work su
be perform
aster E
and take acknowledgments,
ctrician.
al Inspector.
s an employer of
Supplement, and
oyed by him in the
public notice or notices
is permit, as are
Before me, the undersigned authority, a notary public, duly authorized to administer
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.
personally
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of .$1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS ,
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEA :ER
STRIP
HEATER
TOTAL
CONTR.
LIST
.�
'HECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEL P.
SERVICE.
PERM.
MOTORS
0-1 HP
MOTORS
1 -9 HP
NEON
TRANS.
RADIO
TOTAL
CON': R.
LIST
CHECK
Permit No
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
APPLIIC TION FOR ELECT( UGAL PERMIT
Date 3 -- ( a c i -
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. „ $Xj
Owner's Name and Address < No / Street !t' `
Registered Architect and /or Engi
Employing Electrician's Name ;�.. •��.
Location and Legal Description Lot + Block
Street and Number where work is to be performed—No 4/ O' w/ 4 d 9 7
MIAMI SHORES VILLAGE
Service Overhead Size Feeders Conduit Main Sw Amps
Underground
Type of Installation— Conduit Tubing
(Signed)
No
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
B.X.L ............ .. _ .. _.Metal Moulding
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors,
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE. Il
ss.
(Signed) ...
Main Fuses Amps
oaths
Street,(/'
Subdivision
Elec
ccepts his obligatio
of Florida Perm
subcontractors
of the work su
be perform
aster E
and take acknowledgments,
ctrician.
al Inspector.
s an employer of
Supplement, and
oyed by him in the
public notice or notices
is permit, as are
Before me, the undersigned authority, a notary public, duly authorized to administer
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.
personally
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.
Permit No
Employing Electrician's Name
Street and Number where work is to be performed —No
Service Overhead Size Feeders Conduit
Underground
Type of Installation — Conduit Tubing
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
55.
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 4I Yr/1 c S
Registered Architect and /or Engineer
No a/5 /
4 No. .. C c'
Location and Legal Description Lot Block
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
(Signed) ..
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed)
Date
Subdivision
Street__
Street.n 9 45 si
Street.A., 4/, / $
Electrical Inspector.
ccepts his .i.ligations as an employer of
of Flori .. Permanent Supplement, and
sub -con ! . ctors employed by him in the
of the work such public notice or notices
be performed ty¢der this permit, as are
aster Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEAVER
STRIP
HEATER
TOTAL.
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS MOTORS
0-1 HP 1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
Lis,.
,
Oy /
" 4 O
/ /
! ! ' -3/ . /./;
q ✓ Crtl
CHECK
Permit No
Employing Electrician's Name
Street and Number where work is to be performed —No
Service Overhead Size Feeders Conduit
Underground
Type of Installation — Conduit Tubing
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
55.
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 4I Yr/1 c S
Registered Architect and /or Engineer
No a/5 /
4 No. .. C c'
Location and Legal Description Lot Block
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
(Signed) ..
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed)
Date
Subdivision
Street__
Street.n 9 45 si
Street.A., 4/, / $
Electrical Inspector.
ccepts his .i.ligations as an employer of
of Flori .. Permanent Supplement, and
sub -con ! . ctors employed by him in the
of the work such public notice or notices
be performed ty¢der this permit, as are
aster Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
_ p
I , p � -7
pg
Apilticeatio
ors')
e for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
struce erein cribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and ali ' ns 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 hores 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
Service Overhead Size Feeders
Underground
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
6 1/4 d
Registered Architect and /or Engineer.. �.
Employing Electrician's Name
fib o f he/
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Conduit Main Sw
s - 0 Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed)
Ek cal Inspe .r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio : s an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm. a Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors m• oyed 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 su public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed `iy t . is permit, as are
licensed by Miami Shores Village.
(Signed) .
Date
Street
Street
d
Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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.
and
Master ' ectrician.
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 no 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
Ar
a( J �
Apo
/c•
/
/
/
CHECK
ENT.
SW.
CAB.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
le:
/
MOTORS
MOTORS NEON
_
TRANS.
^'�
/i
/
RADIO
TOTAL
CONTR.
LIST
k.
,[�,Q
3
CHECK
_ p
I , p � -7
pg
Apilticeatio
ors')
e for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
struce erein cribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and ali ' ns 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 hores 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
Service Overhead Size Feeders
Underground
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
6 1/4 d
Registered Architect and /or Engineer.. �.
Employing Electrician's Name
fib o f he/
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Conduit Main Sw
s - 0 Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed)
Ek cal Inspe .r.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio : s an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm. a Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors m• oyed 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 su public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed `iy t . is permit, as are
licensed by Miami Shores Village.
(Signed) .
Date
Street
Street
d
Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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.
and
Master ' ectrician.
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 no for inspection, or faulty
materials and /or workmanship.