904 NE 96 St (8)MIAMI SHORES VILLAGE
(7
• ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 1`)11
Date ......
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su tted for the building or other
structure herein described. This application is made in complianc and conformity with the Building Ordinance o 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.
air/ ‘ 21161 1/ 17417
Owner's Name and Address •
Registered Architect and /or Engi e gee)
Employing Electrician's Name
No
No
9
Street 1' Cf
Street •
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
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 Underground p Main .. uses Amps
.B.X.L.._... .Metal Moulding. ..
Type Installation — Conduit
.Tubing
Amount of Permit $ A./• (Signed)... �-
•
�i
Eli Et ka! Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat' ns as an employer of
labor under the c1orida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent Supplenent, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors /iployed 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 wor. be performed und0f/rmit, as are
licensed by Miami Shores Village. ��
M. �3 =ice rician.
(Signed) .
f
STATE OF FLORIDA, 1
COUNTY OF DADE. IT
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.
SS.
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.
OUTL1Y
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACC
HE ER
STRIP
HEATER
TOTAL
CONTR
LIST
1/
ENT.
SW.
/
�t
SERVIC"
P _RM .
�I,�1„
• ; n ��,. , '
-= = •
ea
_
t
�i0.O:'.:
O -I HP
..;TORS
i•3 HP
NNT'
TRAM .
DL: '.
CAB.
SERVICI
T " P.
RADIO
TOTAL
CON .n.
LIST
CHECK
MIAMI SHORES VILLAGE
(7
• ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 1`)11
Date ......
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su tted for the building or other
structure herein described. This application is made in complianc and conformity with the Building Ordinance o 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.
air/ ‘ 21161 1/ 17417
Owner's Name and Address •
Registered Architect and /or Engi e gee)
Employing Electrician's Name
No
No
9
Street 1' Cf
Street •
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
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 Underground p Main .. uses Amps
.B.X.L.._... .Metal Moulding. ..
Type Installation — Conduit
.Tubing
Amount of Permit $ A./• (Signed)... �-
•
�i
Eli Et ka! Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat' ns as an employer of
labor under the c1orida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per anent Supplenent, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors /iployed 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 wor. be performed und0f/rmit, as are
licensed by Miami Shores Village. ��
M. �3 =ice rician.
(Signed) .
f
STATE OF FLORIDA, 1
COUNTY OF DADE. IT
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.
SS.
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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
e1
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 of Miami Shores_Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village aid all rules and regulations of the Building Divis
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of app :; ed
building during progress of work.
Owner's Name and Address ��C/J No
Registered Architect and /or Engin r 11� y�..
Employing Electrician's Name Engin
""' r "'Y No 1 Street .1Aille/ � i1Q7� -/
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building.. Remodeling Addition Repairs No. of Stories
STATE OF FLORIDA,
COUNTY OF DADE. I ss.
(Signed)
Overhead /1
Service Underground Size Feeders D Conduit 'C Main Sw / "r0 Amps Main Fuses
Type cif Installation— Conduit Tubing B.X.L Metal Moulding.
ns and specifications must be kept
heJ . E
��.4f(/'
Amps
�
Amount of Permit $ t! � (Signed) 49 ,,
\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 I' manent 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.
er 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, acid 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
RECEP''T'S
FIXTURES
No. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HE, ER
STRIP
HEATER
TOTAL
INSTTR
4
_
2 6 j
I
/
0..._.,
-----
X73
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
. ' . P.
T
SERVICE
PERM.
MOTOP.:
O.I HP
.".'.OTORS
I.3 HP
NE!°N
TRANS.
RADIO
TOTAL
Cr
/419,h_
lrm,4
V
�a
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
e1
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 of Miami Shores_Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village aid all rules and regulations of the Building Divis
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of app :; ed
building during progress of work.
Owner's Name and Address ��C/J No
Registered Architect and /or Engin r 11� y�..
Employing Electrician's Name Engin
""' r "'Y No 1 Street .1Aille/ � i1Q7� -/
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building.. Remodeling Addition Repairs No. of Stories
STATE OF FLORIDA,
COUNTY OF DADE. I ss.
(Signed)
Overhead /1
Service Underground Size Feeders D Conduit 'C Main Sw / "r0 Amps Main Fuses
Type cif Installation— Conduit Tubing B.X.L Metal Moulding.
ns and specifications must be kept
heJ . E
��.4f(/'
Amps
�
Amount of Permit $ t! � (Signed) 49 ,,
\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 I' manent 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.
er 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, acid 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.
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ��
DATE r 19 Us
ELECTRICAL
PLUMBING 0 PERMIT 1� 9 7880 Contractors 't t
License No
ROOFING ❑
Owner of `
Building A-0' "t tit -4 • *' I
Architect
Contractor
or Builder
C-4,7 r . 7 / C ( c
Work to be performed under this Permit —_
al wart. ?r° it • C.• .fly
t�1c" f. S
Legal Lot Subdi_
Description t ! C I Bl vision
1
Address of 9.4
tr" Value of
Building r ei Project $
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 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 if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which t
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 he assumes respon-
sibility for work done by his agents, servants or employees. /1
S \ i Signed• g t. t . z . . 4 n . _ .- INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian with all ord r ces and regulations
pertaining thereto and in strict conformity with the plane, drawings, statements or specifications submitted to the proper a • gr of Miami Shores Village. In as
ceptinq this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY
Amount of "Z
Permit $
AUTHORITY
.PSOT