904 NE 96 St (13)BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA I
ELECTRICAL ® Date— 19_2?)
PLUMBING ❑ PERMIT N° 8343 Contractor's ., . •
License No. d
ROOFING ❑
❑ Work to be performed under this Permit
Owner of .1 i r --- r
Building "a , r t = . *..✓�. k;
Architect
Contractor t .'
or Builder *-+ •■+ %.. r ;.# - - �-• 1 I{
Legal Lot I t
Description l i Bl. r
Address of ' -, j s F
Building 1 ' — / i '- - '
Subdi-
vision
rq. Ft.
,Value of 11 Amount of ) .r
Project $ 11 Permit $
1
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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding tt,at 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 whieh.thia
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 o(drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agent se ;yants,crIpemployeea/ -
• r r /-
Signed - `` .. • / `• • -.46 111r Y 'f.... OR) BY
agree j
In consideration of the issuance to me of this permit I a
p g perform the work co d hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawing atements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work do n / by either, myself, my agent, servant or employee.
- .-- �,� f
,i r yr... -..."-e- •__ ---- .
CONTRACTOR or BUILDER BY AUTHORITY
1'
Permit No
3
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewitllsubmitted 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.
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
cfP
Owner's Name and Address .t.e No
Registered Architect and/or r ngineer
Employing Electrician's Name j1 No Street.
Location and Legal Description Lot Block
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
A Street..
Subdivision
Street
i
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P P
Type of Installation — Conduit Tubing B.X.L Metal Moulding..
Elcctrica nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a n employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane upplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors em oyed by hits 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.
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, a;,d 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
HE.; EP
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
Tc; P.
SERV ICF
PERM.
MOTOF,
0.1 HP
.".cOTORS
1.S HP
NEON
TRANC.
RADIO
TOTAL
CONTR.
LIST
l24N -'r
/ .. /1,
CHECK
1'
Permit No
3
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewitllsubmitted 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.
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
cfP
Owner's Name and Address .t.e No
Registered Architect and/or r ngineer
Employing Electrician's Name j1 No Street.
Location and Legal Description Lot Block
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
A Street..
Subdivision
Street
i
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P P
Type of Installation — Conduit Tubing B.X.L Metal Moulding..
Elcctrica nspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a n employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane upplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors em oyed by hits 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.
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, a;,d 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.