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ELECTRICALAPPLICATION FOR ELECTRICAL PERMIT 1 _ p Permit No Date 9_144, a 1 ,° Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other I. structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, v 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 3f Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at (k building during progress of work. j , ( burner's Name and Address .e/g41 ../ CV.A 0 $'i' AJ No Street 'j, red Architect and /or Engin W mploying Electrician's Name r / No ,z7 C �1 i e L°O No /6 71/41 Street..../" Location and Legal Description Lot Block Subdivision 7 Street and Number where work is to be performed —No / d J Ai . ? Street 6 1-' State work to be performed and purpose of building (By Floors) ,4 ✓a e'7 . ` -_ / New Building ✓ Remodeling Addition Overhead IV Service Underground Size Feeders 1 ° - Conduit. ... Main Sw oa /9: Amps Main Fuses Amps 111 Type of Installation— Conduit v Tubing L- B.X.L Metal Moulding s Amount of Permit $ ? 0 MIAMI SHORES VILLAGE 0 ELECTRICAL INSPECTION DEPARTMENT Repairs No. of Stories (Signed) Ce )1 . J - 3 Se Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr 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 w 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. (Signed). 0 ./.✓.. j • Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. aa. 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. RACE HEATER STRIP H TOTAL CONTR. LIST � !J V- a - ` / �i / CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS NEON 0.1 HP 1.5 HP TRANS. RADIO Y eI� a •-r Via/ AQ'Jv AO e. 0A=Pf1or TOTAL CONTR. LIST A "17 E' O�../ / XJ - /- 0 T � P: /- iJ CHECK r. / IVO, / ice APPLICATION FOR ELECTRICAL PERMIT 1 _ p Permit No Date 9_144, a 1 ,° Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other I. structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, v 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 3f Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at (k building during progress of work. j , ( burner's Name and Address .e/g41 ../ CV.A 0 $'i' AJ No Street 'j, red Architect and /or Engin W mploying Electrician's Name r / No ,z7 C �1 i e L°O No /6 71/41 Street..../" Location and Legal Description Lot Block Subdivision 7 Street and Number where work is to be performed —No / d J Ai . ? Street 6 1-' State work to be performed and purpose of building (By Floors) ,4 ✓a e'7 . ` -_ / New Building ✓ Remodeling Addition Overhead IV Service Underground Size Feeders 1 ° - Conduit. ... Main Sw oa /9: Amps Main Fuses Amps 111 Type of Installation— Conduit v Tubing L- B.X.L Metal Moulding s Amount of Permit $ ? 0 MIAMI SHORES VILLAGE 0 ELECTRICAL INSPECTION DEPARTMENT Repairs No. of Stories (Signed) Ce )1 . J - 3 Se Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contr 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 w 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. (Signed). 0 ./.✓.. j • Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. aa. 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 Amount of Permit $ STATE OP FLORIDA, } COUNTY OF DADE. 69. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) Date Application is hereby ma 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 ✓..G7.44.; G��'.�d. Street Registered Architect and /or Engin Employing Electrician's Name e 4 .No. Street..... ./ tA- a... ,.l..f . Location and Legal Description Lot Block Subdivision , Street and Number where work is to be performed —No l Q ai... N • Street 9. t? State work to be performed and purpose of building (By Floors) New Building L' Remodeling Addition 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 E – 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. (Signed) ... �t'.t� e Notary Public, State of Florida S' .- v' /... aster 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. 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. ACE HATER 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 CHECK Permit No Amount of Permit $ STATE OP FLORIDA, } COUNTY OF DADE. 69. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) Date Application is hereby ma 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 ✓..G7.44.; G��'.�d. Street Registered Architect and /or Engin Employing Electrician's Name e 4 .No. Street..... ./ tA- a... ,.l..f . Location and Legal Description Lot Block Subdivision , Street and Number where work is to be performed —No l Q ai... N • Street 9. t? State work to be performed and purpose of building (By Floors) New Building L' Remodeling Addition 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 E – 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. (Signed) ... �t'.t� e Notary Public, State of Florida S' .- v' /... aster 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. 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.