7253EN=
Permit No— 3
Date. �., 1._7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith
structure herein described. Ms application is made in compliance and conformity with the Building Ordinan
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans
building during. progress of work.
Owner's Name and Address... »..4» °�...f. �/ ...Q..
Registered Architect and /or Endr i TE td a e h c2 a in
.... ...
P
Employing Electrician's Name.......,.... 4.�./2. v.t,_ .� Ai
Location and Legal Description Lot. Block :.. »..,.......,Subddivision.
Street and Number where work is to be ed -.No..
State work to be performed and purpose of ling (By Floors)
New Building Remodeling
swim wow, RAM PurruRES
?I.
OuCTS .OUTLBTs RRCE•P•T'S NO. r.AMPs
' 2 - 21 / 3j-O
MOT. ST. SERVICE
Sw. CAB. TEMP.
CoNTR.
L 40,0___
SaRvica
PERM.
Rental.
OUTLET
f
RANGE
Garin.
Minolta
o4 MP
WATER .
NEATER
1.8 NP
TRANS.
N
e 0 AO
gyms
Noma
OTRIP
NEATER
RAOI0
..1.i: A e dvc ,�P 1 m®
Service Overhead erglraund Sue Feeders.„pr$ /4" a Conduit 4 ° .Main 8w ' r a k' ' s .Amps.,.. p
� '..Main fuses.. : �..........Am s
Type of In5tallatioa CondSe. Tu ..B.X.I.
Amount of Permit $..?...
The undersigned applicant for this ding permit does hereby certify that he understands and accepts his obli
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P
has complied with the provisions thereof, and will require similar compliance from all contractors or sub'pntra
work to be performed under this perm's; and will post or cause to be posted for inspection on the site of
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
}
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
es,
MIAMI SHORES VILLAGE
Addition. .....1 -Repairs.
........ (Signed).,
(Signed).
No 4-0. �..:.
kAi.1 .11�:.,.._
I�10 ?- .. ....e.. Street
bmitted'for the'butlding or other
of Miami Shores Village, Florida,
egulations of the Building Division
and specifications must be kept at
aria El:1 0..e.1.$
.....„.. of Stories.
S
TOTAL
TOTAL.
cal Inspector.
ER as an employer of
ent Supplement, and
re employed by him in the
such public notice or notices
ed under this permit, as are
Master Electrician
Before me, dersigned autho a , public, sly� authorised to administer oaths and take acknowledgments, personally
appeared... .... ...,4 ,?! f"
............. ..... : .....
to me well d who, being by me first duly sworn, upon oath deposes and says that he is the—..2. „! ?:!?'ek/e
of the above d •, . t1, .. construction, and he has carefully read the foregoing application, and that he ' did sign the name, and that all facts
therein by him : T • are • true. f ,
Notary Public, State of Florida at lergls
mission expires July 6, 1950
..... ».......... ,.4 My' � o . E x pires 7.
NOTE: A re-inspection fee of SIAM ' wit lia made when such
materials and /oo woriaritinship.
Notsry public,: $tate of Florida
'inspection 1. made necessey . by improper notice rot inspection, or faulty
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE.
PERMIT N? 7253
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
1 Bl
Address of
Building
FLORIDA
DATE 195
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Value of 11 Amount of
Project $ 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 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 it 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agservant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY