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ELECTRICALMIAMI SHORES VILLAGE BUILDING DEPARTMENT � 305- 795 -2204 Building Inspection Request Date 'v I V t Time Type Insp'n `` i Cc4 orduci Permit No. ff oo 3 - b o - 7 Name P510 r . Address I OSD C IS 5 4-- Company Phone # For Inspector: \' 310 - Nam Approved I71 Correction ❑ 3,�cy!/4� Re- Insp'n Fee ❑ Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date ! ) / 2//o 3 Time Permit No. F L 7o O Name Address Company Phone # 3 OS '- LSS . 0 9 AC1 For Inspector: 1 l u l () 3 ► . . Approved Correction Re- Insp'n Fee ❑ //,'42't, °J MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 31 1 0 Type Insp'n I fir a) Permit No. L GI 20o3 Name F �SJ L n Address I �, t I "� q6 S4- Company ilJ- r ,o e 3 Phone # SOS" (O S S — o c Inspection Date 3111 Approved i7 Correction Re- Insp'n Fee Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for te 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. A Owner's Name and Address.. Ar/ IC 0 No. /O.3 #1 , Y Registered Architect and /or Engine q �,./ P Y g e • 4,..retc ..l er No. I Street Em to in Electrician's Name .. / Location and Legal Description Lot Block Subdivisi n Street and Number where work is to be performed —No e' a f'! f/ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition v Repairs No. of Stories Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.I L Cs- STATE OF FLORIDA, COUNTY OF DADE. 1 85. (Signed) ervice Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P p of Installation— Conduit Tubing B.X.L .Metal Moulding f /969 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid. , • 'ermanent 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 sub - contractors, on work to be performed under 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. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of SI.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. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CL LIST CHECK 2. - 1.1 ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. G � j�� 111111 MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK I. Z„ Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for te 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. A Owner's Name and Address.. Ar/ IC 0 No. /O.3 #1 , Y Registered Architect and /or Engine q �,./ P Y g e • 4,..retc ..l er No. I Street Em to in Electrician's Name .. / Location and Legal Description Lot Block Subdivisi n Street and Number where work is to be performed —No e' a f'! f/ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition v Repairs No. of Stories Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.I L Cs- STATE OF FLORIDA, COUNTY OF DADE. 1 85. (Signed) ervice Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P p of Installation— Conduit Tubing B.X.L .Metal Moulding f /969 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid. , • 'ermanent 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 sub - contractors, on work to be performed under 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. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of SI.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 compliant' 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.. - Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. My Commission Expires MIAMI SHORES VILLAGE Date ✓ t4.U�n -! No.IQ.. re ,/l e Registered Architect and /or Engineer - Employing Electrician's Name W. No------ .22 4 `'iWeet -. Ql_t._ 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 Main Fuses Amps Underground P p Type )f Installation — Conduit Tubing.... B.X.L .. .....Metal Moulding. .._.. . (Signed) A (Signed) Street -.l., t C • 'r Notary Public, State of Florida Elec al Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s is an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm fit Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors f'ployed 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. 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, 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. 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. SPACE HEA ,: STRIP HEATER TOTAL CONTR LIST CHECK ENT. SW. DIST. CAB. SERVICE T.,' SERVICF PERM. MOTOP O.1 HP I.`` OTORS 1.5 HP NEON TRANS. RADIO TOTAL CON': R. LIS ` _� (J� 1 a Id-- Z t. �y 3 CHECK 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 compliant' 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.. - Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT SS. My Commission Expires MIAMI SHORES VILLAGE Date ✓ t4.U�n -! No.IQ.. re ,/l e Registered Architect and /or Engineer - Employing Electrician's Name W. No------ .22 4 `'iWeet -. Ql_t._ 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 Main Fuses Amps Underground P p Type )f Installation — Conduit Tubing.... B.X.L .. .....Metal Moulding. .._.. . (Signed) A (Signed) Street -.l., t C • 'r Notary Public, State of Florida Elec al Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio s is an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm fit Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors f'ployed 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. 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, 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. 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. 4y R V �� C��,✓ Y :� ,�: ': ; R � �� , t;T �z,a