1631MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ` 3 /
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
Registered Architect and /or Engine
Employing Electrician's Name oi Nci b 3 3-
Location and Legal Description Lot— Block
Street and Number where work is to be performed —No /
work to be perfo and purpose of building (By Floors)
New Building Remodeling __ Addition_—_____
Overhead /
Service Size Feeders a / Conduit
Underground
Type of Installation- Conduit_ \ Tubing
Amount of Permit $
---
My Expires
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed - by Miami Shores Village.
(Signed)
(Signed)
Repairs
Date
rte/.
, f 4L
Street �j
Street / 1
Subdivisi,i
S treet 9' 5 �✓�
No. of Stories_ �_
7 Main Sw. ,` '' A Amps.
B.X.L.— Metal Moulding
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub- contractors, on work to be performed under this permit, as are
/
tea, r'A ;+ . , �
STATE OF FLORIDA, I
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, 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.
Notary Public, State of Florida j
Main Fuses_ ; Amps,
Electrical Inspector.
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'I'S
FIXTURES
NO. LAMPS.
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET -
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE..
HEATER
STRIP
HEATER
TOTAL
CR.
LIST oNT
9 � .
�
i
f
�.f
_
� '' ° 9.��" i
®`
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
- SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -8 HP
NEON
TRANS.
_ . RADIO !.
TOTAL
CONTR.
LIST
_
CHECK
_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ` 3 /
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
Registered Architect and /or Engine
Employing Electrician's Name oi Nci b 3 3-
Location and Legal Description Lot— Block
Street and Number where work is to be performed —No /
work to be perfo and purpose of building (By Floors)
New Building Remodeling __ Addition_—_____
Overhead /
Service Size Feeders a / Conduit
Underground
Type of Installation- Conduit_ \ Tubing
Amount of Permit $
---
My Expires
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed - by Miami Shores Village.
(Signed)
(Signed)
Repairs
Date
rte/.
, f 4L
Street �j
Street / 1
Subdivisi,i
S treet 9' 5 �✓�
No. of Stories_ �_
7 Main Sw. ,` '' A Amps.
B.X.L.— Metal Moulding
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub- contractors, on work to be performed under this permit, as are
/
tea, r'A ;+ . , �
STATE OF FLORIDA, I
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, 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.
Notary Public, State of Florida j
Main Fuses_ ; Amps,
Electrical Inspector.
Master Electrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
'BUILDING
ELECTRICAL
PLUMBING
Inspector's Repo
BUILDING
ady ;. for Inspection ,°
•
.•••••
:'•• • '
. .
Electrical Permit .:No. J 4,3
. Fixtures"
Heater -
Miscel,
New Sonst_. _ _ - • Alt _eration ..
- Bl.dg. Insp: - Date
Foundation 0- a -
"Beams -& "Lithe s /4 _
Final
Plumbing Insp.
aR.oighing-
Fixtures
- Sewer
Septic Tank
Solar
Final. Cert.
Electrical Insp. Date
_ ,
Fixturee
Final e /:
By
Service O. -K. " o Power J ®/ 9/
T
Date
9
/.1•` -4'o
Re
Fee
- 11.
a
9
Re,- .i"hsp By. Ulsp
irs -
. .KO - in - sp. by Heinsp. J3
Re -Insp. By - ,Reinsp. By
•
•
•
enerai. "` Contractor
Zone Req..:Cu. Ft.
Flat_ lestr action Chkd. By
To Planning • Board 9-02:r
Re- Submitted to P.Bd.
Lic.
CL.b.; Gout -.
Typ
Nero Construc
Plui bi.ng .Permit No. .� pie
Septic Tank
S ewer -• -
Miscel.
New Const.,
n Approved 9-43 Rejected
-7 4.proved::,,: Rejected
Plan & Spec. Checked by
-To Council
Bldg., Kermit No.
1 � Date/044/0 Fee ,� � � Cost F;200, dt�-
-
Stories 417w
Alterations
Fee 4...1
.Alteration.' Repairs
/H 5 Date
Roof
Repairs
MIAMI
Office
ERTI FIC
THIS,CERTIFiES THAT the wiring and
for
has been inspect and current is autho
Size of Service
Range
Power: Connected
Oilier Apparatus
HORES VILLAGE
f Electrical Inspector
TE OF INSP
apparatus install
by r a ` , a &' ` �' her? Address
owner, and occup ed as
ed to be turned on, until o • erwise notified, for:
Number of Lig = Circuits
watts. Water Heater watts
H. P. Space H tern ` watts
PERMIT'
ELECTRICAL IN PECTOR.
Amt. of
Permit
194
Architect
Contractor
or Builder
Legal
Description ll
Address of
Building uilding or to install the equipment or device described in the ur"
This t is granted to the contractor or builder named above to construct the b
application or in strict compliance with all ordinances. pertaining thereto and with the Id erstandin$g that the wor k 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 t 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 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 �. INSPECTOR
In consideration of the issuance to me of this t I agree to perform the work hereunder in compliance; with all ordinances and regale-
0118 pertaining thereto and insect conformity wi the plans;,-drawings, statements or speeickations submitted to the proper authorities of Miami Shores
illage. In a ting this permit I assume responsibility for all work done by either myself, any, agent, servant or, employee.
BY ,,;.