14221Permit No 1 i_11
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 Budding 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.1 copy of approved plans and specifications must be kept at
al d d 140.:.,.. 9d ` Street.
building during progress of work.
Owner's Name and Address ...
Registered Architect and /or Enginefir
Employing Electrician's Name.
Location and Legal Description Lot.
MIAMI SHORES V I LLAGE
ELECTRICAL . INSPECTION ..DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
"AA s5fio
S ,4 Cg 62 - Cct TAI C.. No. . �.: t Street.....: tetJ . 1-0 t/
:Block ' Subdivision.
Street and Number where work is to be performed --No.
State work to be performed and purpose of budding (By Floors)
New Building........ Remodeling
Service
Overhead Size. Feeders ..:Conduit .. _ .....Main Sw
Type of Installation— (conduit . .......... ...... Tubing ..B.X.L
Date.... /-
Addition.... .Repairs .. , No. of Stories.
..Amps. Fuses. ........ . :..Amps •
Amount of Permit $ ' - " 4 . (Signed) p^ .~
Electrical Inspector.
The undersigned applicant for this building permit does h ereby 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be lietftrmed under this permit; and well 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.
STATE : OF FLORIDA, 1 - -
COUNTY OF DADE. f m '
Before me, the undersigned authority, a notary public, duly 'authorized to . administer . -oaths and take ac personally
appeared
• .. ..» »..... ......
•
to me wen 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
RECEIP'T'S
FIXTURES
NO. LAMPS
REPRIG.
OUTLET -
IRON
OUTLET
RANGE
OUTLET
- RANGE
- CONN,
WATER --
HEATER
W. NEAT. .
CONN.
/ ..
SPACE
HEATER
STRIP
- HEATER
TOTAL.
CONTR.
LIST
'
CHECK
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
Deed
G26
r•'o PAW
0it 1 j
3'T n
7' �
` MOTORS
INT HP
- MOTORS
.1.8 HP
NEON
*rams.
-
- RADIO .'
TOTAL
LIST
1.18
L
/
.t
- /
1
I
..
-
CHECK
--
-
-
Permit No 1 i_11
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 Budding 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.1 copy of approved plans and specifications must be kept at
al d d 140.:.,.. 9d ` Street.
building during progress of work.
Owner's Name and Address ...
Registered Architect and /or Enginefir
Employing Electrician's Name.
Location and Legal Description Lot.
MIAMI SHORES V I LLAGE
ELECTRICAL . INSPECTION ..DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
"AA s5fio
S ,4 Cg 62 - Cct TAI C.. No. . �.: t Street.....: tetJ . 1-0 t/
:Block ' Subdivision.
Street and Number where work is to be performed --No.
State work to be performed and purpose of budding (By Floors)
New Building........ Remodeling
Service
Overhead Size. Feeders ..:Conduit .. _ .....Main Sw
Type of Installation— (conduit . .......... ...... Tubing ..B.X.L
Date.... /-
Addition.... .Repairs .. , No. of Stories.
..Amps. Fuses. ........ . :..Amps •
Amount of Permit $ ' - " 4 . (Signed) p^ .~
Electrical Inspector.
The undersigned applicant for this building permit does h ereby 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be lietftrmed under this permit; and well 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.
STATE : OF FLORIDA, 1 - -
COUNTY OF DADE. f m '
Before me, the undersigned authority, a notary public, duly 'authorized to . administer . -oaths and take ac personally
appeared
• .. ..» »..... ......
•
to me wen 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:
_
of
D
ct
BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING
Owner
Buildin
Archite
Contra
or Buil
Legal
Descrip
Addres
Buildin
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N9 14221
Work to be performed under this Permit
DATE
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.
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