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MIAMI HE, TINt3 & VENTILATING CO.
' 2515 S. VV. F -.hf,U1
MIAMI 35, FLA. P'r:unA '134'81
J
New nuuuing -- 4 _
SWITCH
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURE!
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
$PACE
HEATER
STRIP
HEATER
TOTAL
,_
CONTR.
OUTLETS
LIST
CHECK
'
ENT.
SW.
DIET.
CAS.
... SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
: NEON
'. TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Permit No
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 orE ''
si
Owner's Name and Addre s
444.--1-
Registered Architect and /or Engineer 5 ,Ge -=t- i- C No Street
"
Street
Employing Electrician's Name_.... .- .a.�st Y No f
Subdivision!
Location and Legal Description Lot
SS.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By
Block i
Floors)
Service Overhead Size Feeders Conduit Main Sw Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit S (Signed)
Street
cc
Addition Repairs No. of Stories
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 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 undersigned agrees to employ only such sub - contractors, o work to be performed under this permit, as are
licensed by Miami Shores Village. sub-contractors,
(Signed)...
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.
idler/
Main Fuses fps
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DARE.
Before me, the undersigned authority, a notary public, duly authorized to administer' oaths 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.
y Li�:
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' •••;' ="' ' r '.•••• e '71 -
2!' -EY , 7 •":,`‘ ' `
i_
4,11:-
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Date / l , 19 S
Owner's Name and Address
Registered Architect and /or Engineer
be sent to
Permit No.
Disapproved
(Signed)
.J.
Chairman
Member _____,
Member
MIAMI gHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
A1 'LA # i 1DTV r > ult.Dlriu
Dam
Name and address of licensed contractor - � y � e- 4-, -1 ,,L_ LAe---
Location and legal description of lot to be built on:
Lot _ Block /7 __ ____ Subdivision
- - - -- - - ----- - - - - -- -
Distance to next nearest building
Maximum live load to be borne by each floor
Street an Number where work is to be done { Z AJ I 2' c
sc.G
State work to be done and purpose of building (by floors)
New Building , _- - Remodeling _ - ------- -- --- ---- - - - - -- ddition - - - -- ----- - - - -__ -- - - - - -- Repairs
To be constructed of_4.�__ • Kind of foundatio ��'-!c � G.__ Roof Cove
Estimated Total cost of improvements $/J 4012 Amount of Permit $ __ _ Zone cubage cubage required__Q G e C2_
_Plan Cubage__
I hereby ubmit 1 the plans )n specifications for sai building. All notices with reference tote building and its construction may
The undersigned applicant for this buildinj'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 5960, Compiled General Laws of Florida, Permanent Supplement,
and has complied 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 undersigned agrees to employ only such sulfontr ctors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon
of the above described co truction, that he ha caref llyread
therein by him stated are t e,
Z't
Building Inspector
Council Approved
NOTE: A charge of $1.00 will be made for
the Planning Board.
• A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
Size of Building Lot
.3"0
th deposes an
PLANNING BOARD
to me well known,
d says that he is the _--- _- - - - - --
the foregoing application, and that he did sign the same, and that all facts
tt
— - DATE
Member
Member
Member
Date Disapproved
making corrections or changes to this application after approval
Street
b ) Read, Sworn to and Subscribed before me.
.... and for no other purpose.
No, of Stories. ____________.____.
,
Notary Public, State of Florida
My Commission Expires
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty