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ELECTRICALPermit No 'S'4 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date : � .2 a .! e /76) 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. 1 r Service Owner's Name and Address .n 7 ?J r Registered Architect and /or Engineer Employing Electrician's Name 13.4.v 4 N Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .1..6.} . v 4 • Street., �..k,._.1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 3.. BS. l ✓l✓ c:... Street./ &Q 1: <d ' (Signed) ectrfcal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo ' a P rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co ra- .rs 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Muter Electrician. STATE OF FLORIDA, 1 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER J '7v. � E �' / .. 4 j ` , TOTAL CONTR. LIST da / CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL 2 CONTR. 9 LIST I J CHECK Permit No 'S'4 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date : � .2 a .! e /76) 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. 1 r Service Owner's Name and Address .n 7 ?J r Registered Architect and /or Engineer Employing Electrician's Name 13.4.v 4 N Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .1..6.} . v 4 • Street., �..k,._.1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 3.. BS. l ✓l✓ c:... Street./ &Q 1: <d ' (Signed) ectrfcal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo ' a P rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co ra- .rs 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Muter Electrician. STATE OF FLORIDA, 1 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. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE MIT Application is hereby made for the approval of the detailed statement of the plans and specifications he h submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Or ance 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 com 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 Eng' Employing Electrician's Name.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No 4 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service 'I' Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation—Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OP FLORIDA, } COUNTY OF DADE. 55. My Commission Expires 2.64,4 G914 No 19 3 7 Street 14C7 t Date. No / >0 Street (PS37— Street (Signed) The undersigned applicant for this building permit does her ri certify that he understands and accepts h labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo has complied with the provisions thereof, and will require similar compliance from all contractors or sub work to be performed under this permit; 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 licensed by Miami Shores Village. (Signe e Electrical Inspector. obligations as an employer of a Permanent Supplement, and tractors employed by him in thc work such public notice or notices performed under this permit, as are 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, 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 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 PLUO RECEWTS FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SAC[ H ATER STRIP HEATER TOTAL CONTR. LIST ' CHECK .. ENT. SW. Dim CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•1:1 HP NEON TRANS. RADIO TOTAL CONTR. LIST Ao 0 6 6v CHECK .........._ Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PE MIT Application is hereby made for the approval of the detailed statement of the plans and specifications he h submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Or ance 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 com 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 Eng' Employing Electrician's Name.. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No 4 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service 'I' Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation—Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OP FLORIDA, } COUNTY OF DADE. 55. My Commission Expires 2.64,4 G914 No 19 3 7 Street 14C7 t Date. No / >0 Street (PS37— Street (Signed) The undersigned applicant for this building permit does her ri certify that he understands and accepts h labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo has complied with the provisions thereof, and will require similar compliance from all contractors or sub work to be performed under this permit; 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 licensed by Miami Shores Village. (Signe e Electrical Inspector. obligations as an employer of a Permanent Supplement, and tractors employed by him in thc work such public notice or notices performed under this permit, as are 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, 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 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. • \ \)- % m: ?< 5 \ � w e« » < x «?3 X +5 : a\ . x <x «< « m»x«« a <y w :: © z; «c «z »ww a2.2« :�aaw.� � y±