770 NE 97 St (6)Permit No
1,1`00
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, Fio: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.
Owner's Name and Address 70, foie L
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT !'�A
Date 44 ) `1
(4 P , p�
No :
Registered Architect and /or Engineer.. `J... 0 W !N i2-4/—
Employing Electrician's Name { fir V.-et-4 No Street c
Location and Legal Description Lot ' ° C .. Block V2r. Suub :• A Cx► 3
Street and Number where work is to be performed —No ` "7 0 Street 1V.. '1
State work to be performed and purpose of building (By Floors).. Q..S'.V..t(..R... 4.NM... C t 0 t46wP,s
New Building Remodeling Y Addition Repairs No. of Stories
Service ':" e 'r g ound Size Feeders Conduit Main Sw 1 ' S-C) Amps....! S" Main Fuses Amps
Type of .w Installation—Conduit . Tubing B.X.L .Metal Moulding
(Signed).01N Nt. Y 1
Street
(Signed) 1�¢��.....�....
C Ld Ar c�
O St-
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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 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 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 ie 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
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N E0N
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
d/
V
CHECK
Permit No
1,1`00
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, Fio: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.
Owner's Name and Address 70, foie L
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT !'�A
Date 44 ) `1
(4 P , p�
No :
Registered Architect and /or Engineer.. `J... 0 W !N i2-4/—
Employing Electrician's Name { fir V.-et-4 No Street c
Location and Legal Description Lot ' ° C .. Block V2r. Suub :• A Cx► 3
Street and Number where work is to be performed —No ` "7 0 Street 1V.. '1
State work to be performed and purpose of building (By Floors).. Q..S'.V..t(..R... 4.NM... C t 0 t46wP,s
New Building Remodeling Y Addition Repairs No. of Stories
Service ':" e 'r g ound Size Feeders Conduit Main Sw 1 ' S-C) Amps....! S" Main Fuses Amps
Type of .w Installation—Conduit . Tubing B.X.L .Metal Moulding
(Signed).01N Nt. Y 1
Street
(Signed) 1�¢��.....�....
C Ld Ar c�
O St-
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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 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 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 ie 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.
/ 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
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No ___ '___r ° � � Street
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
}
APPLICATION FOR ELECTRICAL PERMIT
ss.
4
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition . Repairs No. of Stories
(Signed)
Street
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses
Underground Amps
Type of Installation — Conduit_ Tubing B.X.L. Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h )I nderstands and ace‘ is his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Comyled General Laws or 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 td employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master 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
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
CHECK
I.
/ 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
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No ___ '___r ° � � Street
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE.
}
APPLICATION FOR ELECTRICAL PERMIT
ss.
4
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition . Repairs No. of Stories
(Signed)
Street
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses
Underground Amps
Type of Installation — Conduit_ Tubing B.X.L. Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h )I nderstands and ace‘ is his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Comyled General Laws or 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 td employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master 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.
Permit No._
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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
'
•
':
No Street
Registered Architect and /or Engineer
°
Employing Electrician's Name____ - %���_ No Street
Location and Legal Description Lot . ! Block ✓ Subdivision
Street and Number where work is to be performed —No � _ ./ � �' C • i % � Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead V Size Feeder Conduit Main Sw '' g Amps Main Fuses
Underground .
Type of Installation — Conduit Tubing__ B.X.L Metal Moulding
Amps
Amount of Permit $___/ (Signed)
;.. Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that 1 , nderstands and accepts his ob-} tions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florio},( Pjrmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contactors 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE. I
ss.
( Signed) —
Master 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
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
i' `
/
Al'
(,)
. �
` °
�
�
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
IST
LIST
CHECK
Permit No._
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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
'
•
':
No Street
Registered Architect and /or Engineer
°
Employing Electrician's Name____ - %���_ No Street
Location and Legal Description Lot . ! Block ✓ Subdivision
Street and Number where work is to be performed —No � _ ./ � �' C • i % � Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead V Size Feeder Conduit Main Sw '' g Amps Main Fuses
Underground .
Type of Installation — Conduit Tubing__ B.X.L Metal Moulding
Amps
Amount of Permit $___/ (Signed)
;.. Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that 1 , nderstands and accepts his ob-} tions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florio},( Pjrmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contactors 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE. I
ss.
( Signed) —
Master 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.
Permit No
Amount of Permit 5 ..�."l.!
appeared
service Overhead d Size Feeders �Yo
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION 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 plane and specifications must be kept at
building during progress of work. y� /f
Owner's Name and Address ! "/ d E No 7 77 t' street
Registered Architect and /or Engineer /
Employing Electrician's Name ,g7-4-t� _ / �� cT No.. / '.f Street
Location and Legal Description Lot 3 !E?.
Block . Subdivision 4 'f! " "7' S *' •
Street and Number where work is to be performed —No 7 7 ' E •
State work to be performed and purpose of building (By Floors) -C' /elC
New Building Remodeling Addition
Repairs No. of Stories
Conduit Main Sw 7.19-19 Amps Main Fuses Amps
Type of Installation — Conduit f ' Tubing B.X.L .Metal Moulding
(Signed).. .. ..Vs1.‘% 1
Electrical Inspector.
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 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 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 //AD l 7r
�
Street
!'';
9 7 S.
60 .../ p l ai ts/ '
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. ea.
Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally
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 51.00 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
PLUO
RECE'P'T'S
FIXTURES
No. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
J
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I. HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
Permit No
Amount of Permit 5 ..�."l.!
appeared
service Overhead d Size Feeders �Yo
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION 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 plane and specifications must be kept at
building during progress of work. y� /f
Owner's Name and Address ! "/ d E No 7 77 t' street
Registered Architect and /or Engineer /
Employing Electrician's Name ,g7-4-t� _ / �� cT No.. / '.f Street
Location and Legal Description Lot 3 !E?.
Block . Subdivision 4 'f! " "7' S *' •
Street and Number where work is to be performed —No 7 7 ' E •
State work to be performed and purpose of building (By Floors) -C' /elC
New Building Remodeling Addition
Repairs No. of Stories
Conduit Main Sw 7.19-19 Amps Main Fuses Amps
Type of Installation — Conduit f ' Tubing B.X.L .Metal Moulding
(Signed).. .. ..Vs1.‘% 1
Electrical Inspector.
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 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 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 //AD l 7r
�
Street
!'';
9 7 S.
60 .../ p l ai ts/ '
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. ea.
Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally
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 51.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ...2 L Date..11
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ol 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 plane and specifications must be kept at
building during progress of work.
Owner's Name and Address.
Registered Architect and/or Engi eer
Employing Electrician's Name... () \Aintij No Street
Location and Legal Description Lot I,.4, .. 4 i 't Block (0 e t Subdivision..M. .......
Street ht a et
State work to be performed and purpose of building (By Floors)..1.ieGtri.C4 Mk- up 0. ...... .0 ..0"1"..1t,
Repairs No. of Stories
Street and Number where work is to be performed—No
New Building Remodeling Addition 10
Service
n.r ground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation—Conduit Tubing B.X.L Metal Moulding
Amount of Permit $. 1.0 ‘1,5 (Signed) t
My Commission Expires
MIAMI SHORES VILLAGE
ot MealiO49C4 No 770
(Signed).
0 9Y
street.N6q7
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 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
Muter Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. es.
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'VT'S
FIXTURES
NO LAMPS
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LICIT
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
poo di
VA*
0
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
TR.
CON LIST
g
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No ...2 L Date..11
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ol 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 plane and specifications must be kept at
building during progress of work.
Owner's Name and Address.
Registered Architect and/or Engi eer
Employing Electrician's Name... () \Aintij No Street
Location and Legal Description Lot I,.4, .. 4 i 't Block (0 e t Subdivision..M. .......
Street ht a et
State work to be performed and purpose of building (By Floors)..1.ieGtri.C4 Mk- up 0. ...... .0 ..0"1"..1t,
Repairs No. of Stories
Street and Number where work is to be performed—No
New Building Remodeling Addition 10
Service
n.r ground Size Feeders Conduit Main Sw Amps Main Fuses Amps
Type of Installation—Conduit Tubing B.X.L Metal Moulding
Amount of Permit $. 1.0 ‘1,5 (Signed) t
My Commission Expires
MIAMI SHORES VILLAGE
ot MealiO49C4 No 770
(Signed).
0 9Y
street.N6q7
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 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
Muter Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. es.
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
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 he - • f the building oI other
structure herein described. This application is made in compliance and conformity with the Buildin finance of Miami •res Village, Fiu :ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and lee and regulations of t uilding Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of roved plane and specifications uet be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electriciah's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of build' g (By Floors)
New Building Remodeling > � Addition
CONTR.
LIST
CHECK
CONTR.
LIST
CHECK
SWITCH
OUTLETS
ENT.
Sw.
Amount of Permit $.
LIGHT
OUTLETS
DIST.
CAB.
PLUG
RECE'P'T'S
RVICE
MP.
The undersigned appli t f
labor under the Florida Wor `z e
has complied with the provisio
work to be performed under this
as are required by the Act. The un
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE. w.
Before me, the undersigned
FIXTURE
NO. LAMPS
EPRI
UTLET
IRON
UTLET
SERVICE
PERM.
Service O `,rhead Size Feeders Conduit
Un ground
Type of In. _ Cation— Conduit Tubing
or this building permit d
n's Compensation Act, bean
thereof, and will require sim
mit; and will post or cause to
rsigned agrees to employ only
appeared
lc, / ...V ` ...n L c •
E �+ ° Bloc "' q
1 1v
RANGE
OUTLET
RANGE
CONN.
MOTORS
0.1 HP
igned)
Street
ATER
TER
MOTORS
1 -e MP
gned). b �
Electrical Inspector.
hereby certify t •e unders de and accepts his obligations as an employer of
ction 5966, Com. ral Laws of Florida Permanent Supplement, and
compliance from a contractors or subcontractors employed by him in the
posted for inspection on the site of the work such public notice or notices
ch sub contractors, on work to be performed under this permit, as are
Date
W. HEAT.
CONN.
NEON
TRANS.
LL,
authority, a nota blic, duly aut . rized to administer oaths and take acknowledgments, personally
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
therein by him stated are true.
No • Street E q �•
.Street
division
6
Repairs .No. of St es d
SPACE
H
STRIP
ATER
O
sin Sw .Amps M Fuses Amps
B.X.L .Me Moulding
Master Electrician.
TOTAL
TOTAL
did sign the same, and that all facto
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.