987 NE 96 St (4)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 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.
9e,7
Owner's Name and Address____
Registered Architect and /or Engineer__—
---------------------
Employing Electrician's Name______ -_ =----No.---------
Location and Legal Description Lot
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
Block
Service Overhead Size Feeders_______ Conduit_ Sw.�____ — ________Amps
Underground Main Fuses___________ Amps
Type of Installation — Conduit____—____ _____Tubing____________B.X.L._ __________Metal Moulding— ____ _ — __________________
Amount of Permit (Signed)___ `! /✓'
.— __— __— ___________ —_ ____— 1$Il ____ —__
— �— — — — A04 a Electrical Inspector. v _
The undersigned applicant for this building permit does hereby certify that h'u and accep obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Com d General Laws of ri da Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ontractors employed by him in the
work to be performed under this permit; and will post or cause to be p osted 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,
COUNTY OF DADE.
}
ss.
(Signed)
r�r
Date_
Subdivision
Street_ _____
Street__ • _
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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
-
1
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
9e,7
Owner's Name and Address____
Registered Architect and /or Engineer__—
---------------------
Employing Electrician's Name______ -_ =----No.---------
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) ___ .................
________________._._
New Building_______________ Remodeling Addition Repairs No. of Stories
Block
Service Overhead Size Feeders_______ Conduit_ Sw.�____ — ________Amps
Underground Main Fuses___________ Amps
Type of Installation — Conduit____—____ _____Tubing____________B.X.L._ __________Metal Moulding— ____ _ — __________________
Amount of Permit (Signed)___ `! /✓'
.— __— __— ___________ —_ ____— 1$Il ____ —__
— �— — — — A04 a Electrical Inspector. v _
The undersigned applicant for this building permit does hereby certify that h'u and accep obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Com d General Laws of ri da Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ontractors employed by him in the
work to be performed under this permit; and will post or cause to be p osted 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,
COUNTY OF DADE.
}
ss.
(Signed)
r�r
Date_
Subdivision
Street_ _____
Street__ • _
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.
Owner's Name and Address ______________
Registered Architect and /or Engineer
Employing Electrician's Name _______ - -_
-- _1_
1
Amount of Permit $---_
STATE OF FLORIDA, }
as.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No._ / 0 3
(Signed) _—
No.
Date_
Repairs
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.
No. Street___
Location and Legal Description Lot _ Block _ Subdivision_
Street and Number where work is to be performed —No 7 Y2 rL__6 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Notary Public, State of Florida
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
(Signed) t —
/" Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he undersfands 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 com-
plied 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 under signed agrees to employ only such sub- contractors, on w. k to .e : ormed under this permit, as are
licensed by Miami Shores Village.
f Master Electrican.
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, that 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'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
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address ______________
Registered Architect and /or Engineer
Employing Electrician's Name _______ - -_
-- _1_
1
Amount of Permit $---_
STATE OF FLORIDA, }
as.
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No._ / 0 3
(Signed) _—
No.
Date_
Repairs
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.
No. Street___
Location and Legal Description Lot _ Block _ Subdivision_
Street and Number where work is to be performed —No 7 Y2 rL__6 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Notary Public, State of Florida
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
(Signed) t —
/" Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he undersfands 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 com-
plied 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 under signed agrees to employ only such sub- contractors, on w. k to .e : ormed under this permit, as are
licensed by Miami Shores Village.
f Master Electrican.
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, that 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
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 'r
Application is hereby made f�r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. T is 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 f'.. /l G i E '7' No
7 Street ../..( � - 7
Registered Architect and /or Engineer
Employing Electrician's Name. C.a.e.t.. 4 7 . . e ✓ tc,iNo ? s' Street A-l'E 2-
Location and Legal Description Lot Block
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
Servicd OverheaD Size Feeders Conduit
- Underground
Type of Installation— Conduit Tubing
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
The undersigned applicant f
labor under the Florida Workm
has complied with the provisi
work to be performed under
as are required by the Act.
licensed by Miami Shores
MIAMI SHORES VILLAGE
this building • permit does hereby certify that he understands and a
's Compensation Act, being Section 5966, Compiled General Laws
thereof, and will require similar com pliance from all contractors or
s permit; and will post or cause to be posted for inspection on the site
The undersigned agrees to employ only such sub - contractors, on work to
illage.
55.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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
therein by him stated are true.
Subdivision
Street & 9 / • `r
No. of Stories
Main Sw.._. f A'4a Amps Main Fuses Amps
B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electrician.
and take acknowledgments, personally
did sign the same, and that all facts
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
N EON
TRANS.
RADIO
TOTAL
CONTR.
' LIST
/
1 0 A
CHECK
CHECK
Permit No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 'r
Application is hereby made f�r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. T is 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 f'.. /l G i E '7' No
7 Street ../..( � - 7
Registered Architect and /or Engineer
Employing Electrician's Name. C.a.e.t.. 4 7 . . e ✓ tc,iNo ? s' Street A-l'E 2-
Location and Legal Description Lot Block
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
Servicd OverheaD Size Feeders Conduit
- Underground
Type of Installation— Conduit Tubing
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
The undersigned applicant f
labor under the Florida Workm
has complied with the provisi
work to be performed under
as are required by the Act.
licensed by Miami Shores
MIAMI SHORES VILLAGE
this building • permit does hereby certify that he understands and a
's Compensation Act, being Section 5966, Compiled General Laws
thereof, and will require similar com pliance from all contractors or
s permit; and will post or cause to be posted for inspection on the site
The undersigned agrees to employ only such sub - contractors, on work to
illage.
55.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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
therein by him stated are true.
Subdivision
Street & 9 / • `r
No. of Stories
Main Sw.._. f A'4a Amps Main Fuses Amps
B.X.L Metal Moulding
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electrician.
and take acknowledgments, personally
did sign the same, and that all facts
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.
CHRYSLER AIR TEMP.
CARRIER
FEDDERS
MITCHELL
PHIL=
DADE AIR CONDITIONING ENGINEERS
SALES — INSTALLATION — MAINTENANCE
COMMERCIAL — RESIDENTIAL
1
•
-t
PHONE 84-6186
N -SECO E
MIAMI FLORIDA
fY'v
CHRYSLER AIR TEMP.
CARRIER
FEDDERS
MITCHELL
PHILCD
DADE AIR CONDITIONING ENGINEERS
COMMERCIAL — RESIDENTIAL
SALES — INSTALLATION — MAINTENANCE
7
icy'
PHONE 84-6186
5954 N. E. SECOND. VENUE
MIAMI 38, FLORIDA
e/7 /' • ,7
i
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
1 1 DATE 1/ /9 % 195
❑/ PERMIT N? 13909
El
ri Work to be performed under this Permit
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of
Project $
Contractor's
License No
Amt. of
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 if 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
i 1.. r
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
PERMIT N? 9236
Work to be performed under this Permit
MIAMI SHORES VILLAGE, FLORIDA
Bl.
CONTRACTOR OR BUILDER
Signed:
Subdi-
vision
/ i Value of 1 Amt of
i - il 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 if 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 foc, a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or dravviqgs or iiii the statements.,qr specifications and that he assumes responsibility for work
done by his agents, servants or employees.
, 7
i
INSPECTOR
In consideration of the issuance to me of this permit I agree to heiform the work covered hereunder in compliance with all'ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statedents or specifications submitted to the proper authorit1s of Miami Shores Village.
Iq accepting this permit I assums,,irewonsibility for all done by either, myself, my agent, servant or employee.
'e
i AUTH RITY
-00
DATEI— - 1954L
Contractor's
License No
BUILDING
ELECTRICAL :
PLUMBING
The following is ready for Inspection:
Inspector's Report:
AD: grip
: WORK
: DONE BY:
•
REQUESTED WILL BE READY
• •
•
s • . e L„) if/
•
• , `' '/ `� • :* f •
: •
1 a 4////---Atci
1, Lr
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit Application is 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
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
(Signed)
No Street__—
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 undrsfands 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 com-
plied 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 under signed agrees to employ only such sub - contractors, on wok to .e ormed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Subdivision_
Notary Public, State of Florida
Master Electrican.
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 of the above described construction, that 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'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
IST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit Application is 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
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
(Signed)
No Street__—
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 undrsfands 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 com-
plied 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 under signed agrees to employ only such sub - contractors, on wok to .e ormed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Subdivision_
Notary Public, State of Florida
Master Electrican.
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 of the above described construction, that 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
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electriciah's Name... C.Mct
STATE OF FLORIDA,
COUNTY OF DADE. I
se.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
4 c
No
(Signed)
6 1537
No Street
Street and Number where work is to be performed —No l 7 Ser a- ` ; ` c State work to be performed and purpose of building (By Floors) e ere-e S
New Building Remodeling Addition
Date 7_ l - 2__ -
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, 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.
aes . QC-L.
Street ..�1�
Location and Legal Description Lot Block Subdivision
Street Ch' F - 31
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
Amount of Permit $ (Signed)
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 inspectio . • • e site • e wor h public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub contra • rs, on wor be performed u der this permit, as are
licensed by Miami Shores Village.
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.
Notary Public, State of Florida
Master Electrician.
My Commission Expires
NOTE: A re•inepection 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'B
FIXTURES
NO. LAMPS
REFRIG.
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IRON
OUTLET
RANGE
OUTLET
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CONN.
WATER
H
W. HEAT.
CONN.
SPACE
H
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CONTR.
LIST
CHECK
ENT.
SW.
DIST.
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SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
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TOTAL
CONTR.
LIST
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CHECK
Permit No
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electriciah's Name... C.Mct
STATE OF FLORIDA,
COUNTY OF DADE. I
se.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
4 c
No
(Signed)
6 1537
No Street
Street and Number where work is to be performed —No l 7 Ser a- ` ; ` c State work to be performed and purpose of building (By Floors) e ere-e S
New Building Remodeling Addition
Date 7_ l - 2__ -
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, 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.
aes . QC-L.
Street ..�1�
Location and Legal Description Lot Block Subdivision
Street Ch' F - 31
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
Amount of Permit $ (Signed)
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 inspectio . • • e site • e wor h public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub contra • rs, on wor be performed u der this permit, as are
licensed by Miami Shores Village.
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.
Notary Public, State of Florida
Master Electrician.
My Commission Expires
NOTE: A re•inepection 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.