ELECTRICALMIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /'?v S t Date I .. ..
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f, r the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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 �J.-- L.1- /•l..( -e S
Registered Architect and /or Engineer ,( �r 6--- /�
Employing Electrician's Name G � c' /` No 7 q)/ e- da•:4 /.Street
Location and Legal Description Lot ^ Block Subdivision
Street and Number where work is to be performed —No 91.0 — 'fY 1 •
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $ •• - °.
(Signed)
No 9 (9° � ° Street 6 7 7
Street 6 77-
kIG PY
� go
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Muter Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I 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.
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 neceuary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
I'1
-/
PLUG
RECE'P'T'S
FIXTURES
NO. L
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
1
} J ,
1 DISTT. %%%
✓� J 1 e
ENT.
SW.
CAS.
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 /'?v S t Date I .. ..
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted f, r the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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 �J.-- L.1- /•l..( -e S
Registered Architect and /or Engineer ,( �r 6--- /�
Employing Electrician's Name G � c' /` No 7 q)/ e- da•:4 /.Street
Location and Legal Description Lot ^ Block Subdivision
Street and Number where work is to be performed —No 91.0 — 'fY 1 •
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $ •• - °.
(Signed)
No 9 (9° � ° Street 6 7 7
Street 6 77-
kIG PY
� go
Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Muter Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I 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.
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 neceuary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No /6' 42 'r'r
New Building
Service Overhead
Underground Site Feeders
Type of Installation— Conduit Tubing
Amount of Permit $
STATE OF FLORIDA, lj
t
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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu Ada,
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. '/ I 't / ,� l f 74-,It
Owner's Name and Address p .i' / /.L•i. No " o 0 Street ........9..•
Registered Architect and /or Engineer j � /(,/ / _ /
Employing Electricia6's Name. e A A l..l.... /. ...C.4._G.. // No.. 1 Street ..ith.W ^.i ..1.. '
Location and Legal Description Lot C� 1 Block Subdivision �(
Street and Number where work is to be performed —No t 0 0 Street 7 4
State work to be performed and purpose of building (By Floors)
Remodeling Addition Repairs No. of Stories
nduit...
w Amps Main Fuses . Amps
B.X.L . Metal Moulding
(Signed)
(Signed)
Date
Electrical Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 'gations 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 subcontractors, on w o •e performed under this permit, as are
licensed by Miami Shores Village.
as er Electrician.
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, 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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RAOIO
TOTAL
CONTR.
LIBT
CHECK
i
Permit No /6' 42 'r'r
New Building
Service Overhead
Underground Site Feeders
Type of Installation— Conduit Tubing
Amount of Permit $
STATE OF FLORIDA, lj
t
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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu Ada,
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. '/ I 't / ,� l f 74-,It
Owner's Name and Address p .i' / /.L•i. No " o 0 Street ........9..•
Registered Architect and /or Engineer j � /(,/ / _ /
Employing Electricia6's Name. e A A l..l.... /. ...C.4._G.. // No.. 1 Street ..ith.W ^.i ..1.. '
Location and Legal Description Lot C� 1 Block Subdivision �(
Street and Number where work is to be performed —No t 0 0 Street 7 4
State work to be performed and purpose of building (By Floors)
Remodeling Addition Repairs No. of Stories
nduit...
w Amps Main Fuses . Amps
B.X.L . Metal Moulding
(Signed)
(Signed)
Date
Electrical Inspec
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 'gations 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 subcontractors, on w o •e performed under this permit, as are
licensed by Miami Shores Village.
as er Electrician.
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, 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.
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
H EATER
TOTAL
/
__
/o kvJ
tid
•��•
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
/
•
1 v ��
.1.- c. MIAMI SHORES VILLAGE
Permit Nc
v I ` ELECTRICAL INSPECTION DEPARTMENT
2 2 5
2 8 2 5
1 2 5
2 2 0
1 2 5
1 7 5
1 2 5
4 5 0
3 7 5
5 0 0
3 5 0
5 4 0
Amount of Permit $ S—� ` S
STATE OF FLORIDA,
COUNTY OP DADE. Ij ss.
FOR ELECTRICAL PERMIT
o
Block Subdivision
(Signed)
Date
pplical ed statement of the plans and specifications herewith submitted for the building oc other
'truce-. mpliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.ida,
rdinances of Miami Shores Village and all rules and regulations of the Building Division
herein specified or not. A copy of approved plans and specifications must be kept at
p 111 S No / 0 0 Street ? 7'
No SO Y Street. . /v JET
Street ? .. 1 4...1S'
Floors)
Addition Repairs No. of Stories
, r
Servi Undergroun a Feeders /..Conduit 2 Main Sw Amps a 0 0 Main Fuses . Amps
Type o nsta ration— Conduit Tubing B.X.L Metal Moulding
Notary Public, State of Florida
Electrical Spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations n employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permane Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors emp oyed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the sit • f the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub- contractors, on wor to •e 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 Bays 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
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.