639 NE 97 St (8)New Building
Service
Permit
Location and Legal Description Lot
Street and Number where work is to be performed —No. (=' • 7
--
Type of Installation—Conduit ______ __________Tubing _______ B.X.L._ Metal Moulding
STATE OF FLORIDA, l
COUNTY OF
DADE.
ss.
UN .
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 specifie d or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address '.7? _ •'" No '' ' Street__,
Registered Architect and /or Engineer f _
Employing Electrician's Name_ -_ -- 1 .3 < ^ <' ' . ` ''� - _ -- -•- -- ------ No. -_1' -1 c
ti? •*, ' Block �f L' Subdivision ____ /
•
Street___?
State work to be performed and purpose of building (By Floors) r ' 22 :_.!
Remodeling_____ — Addition______— _Repairs No. of Stories____!
Overhead
Underground Size Size Feeders___ Conduit Main Sw.______ __`___ ...... Amps ....... __ ________Main Fuses______ _______________Amps
Amount of Permit $ __ -_ - ____ -- - (Signed)._
(Signed) _
Date
�
`�� tricalInspector.
a
The undersigned applicant for this building permit does hereby certify that understands and accepts his obl rttidns 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 p osted 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.
Master Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized 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 PP'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
C L STS
/,'
7
/ 6
7
/
/
/
/�
9
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
New Building
Service
Permit
Location and Legal Description Lot
Street and Number where work is to be performed —No. (=' • 7
--
Type of Installation—Conduit ______ __________Tubing _______ B.X.L._ Metal Moulding
STATE OF FLORIDA, l
COUNTY OF
DADE.
ss.
UN .
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 specifie d or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address '.7? _ •'" No '' ' Street__,
Registered Architect and /or Engineer f _
Employing Electrician's Name_ -_ -- 1 .3 < ^ <' ' . ` ''� - _ -- -•- -- ------ No. -_1' -1 c
ti? •*, ' Block �f L' Subdivision ____ /
•
Street___?
State work to be performed and purpose of building (By Floors) r ' 22 :_.!
Remodeling_____ — Addition______— _Repairs No. of Stories____!
Overhead
Underground Size Size Feeders___ Conduit Main Sw.______ __`___ ...... Amps ....... __ ________Main Fuses______ _______________Amps
Amount of Permit $ __ -_ - ____ -- - (Signed)._
(Signed) _
Date
�
`�� tricalInspector.
a
The undersigned applicant for this building permit does hereby certify that understands and accepts his obl rttidns 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 p osted 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.
Master Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized 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.
Owner of
Building
Architect
Contractor
or Builder
`o
BUILDING ■ DATE... ;.
ELECTRIC*. Contractor's
PLUMBING
License No.
r
Work to be performed under this Permit
Legal Lot Bl. Subdi
Description vision
Address of / ,,,,,;•, �-=. ' / d Value of Amt. of
Building P , .t , � � Pro Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A. further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. -
y '
Signed. = r *L:- ..n� r ✓, .. ...r By
`
In consideration of the issuance to rue of this permit I agree to work covered hereunder in compliance with all ordinal es an regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shbres Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
t ' , / ..//� ''
BY
CONTRACTOR Ii BUILDER
MIAMI SHORES VILLAGE, FLORIDA.
ERMIT N° 7634
INSPECTOR
ts
AUTHORITY
194
7 8-4