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ELECTRICALDate Type Insp'n Permit No. Name Address Compan Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Inspection Date l Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Builyiing Inspection Request Permit No. Name Date as / I Address 10. 1 Company Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ Re At 06 /vfY AI APPLICATION FOR ELECTRICAL P_ . Permit No. .... 4 Da tillibi r .q .s 9 - -) Application is hereb ade for a approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein des ibed. 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 wrl1" Nether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of Owner's Name and Address..' Registered Architect and /or Engineer..' Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. NOTE: A materials and S S. Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Bc 2^5-( ock Sub•ivi on 1 Q� 9 _ _ Stree � ��� .... —No (Signe The undersigned applicant for this ilding permit does hereby certify that labor under the Florida Workmen's Compe ation Act, being Section 5966, Com has complied with the provisions thereof, an will require similar compliance from work to be performed under this permit; and will post or cause to be posted for ins as are required by the Act. The undersigned agrees to employ only such sub - contract licensed by Miami Shores Village. No Street Repairs 1 No. of Stories A . - Main Fuses Amps Met. J .ing ector. n.erstands and accepts his obliga ions as an employer d General Laws of Florida Permanent Supplement, all contractors or subcontractors employed by him in ction on the site • the work such public notice or n w. o performed under this permit, r / Master _ ; ctrician. d the ices are Before me, the undersigned authority, a notary public, duly author 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 -inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty rr 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 {/' ID 11 3 CHECK AI APPLICATION FOR ELECTRICAL P_ . Permit No. .... 4 Da tillibi r .q .s 9 - -) Application is hereb ade for a approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein des ibed. 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 wrl1" Nether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of Owner's Name and Address..' Registered Architect and /or Engineer..' Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. NOTE: A materials and S S. Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Bc 2^5-( ock Sub•ivi on 1 Q� 9 _ _ Stree � ��� .... —No (Signe The undersigned applicant for this ilding permit does hereby certify that labor under the Florida Workmen's Compe ation Act, being Section 5966, Com has complied with the provisions thereof, an will require similar compliance from work to be performed under this permit; and will post or cause to be posted for ins as are required by the Act. The undersigned agrees to employ only such sub - contract licensed by Miami Shores Village. No Street Repairs 1 No. of Stories A . - Main Fuses Amps Met. J .ing ector. n.erstands and accepts his obliga ions as an employer d General Laws of Florida Permanent Supplement, all contractors or subcontractors employed by him in ction on the site • the work such public notice or n w. o performed under this permit, r / Master _ ; ctrician. d the ices are Before me, the undersigned authority, a notary public, duly author 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 -inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty rr workmanship. = y F 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 work. Owner's Name and Address Registered Architect and /or Engineer C �� Employing Electrician's Name J n EL STATE OF FLORIDA, 1 COUNTY OF DADE. ! j I .. S9 .3.. $/ SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No 3 w..Z ce' Location and Legal Description Lot Block..? / Street and Number where work is to be performed— No.... /.Q._. 9 (Signed) No. h ._6 / Street... )V .kl. T(,?.6 f Date ? cf Street Street 1 Subdivision. ...fi..1 S ......7� State work to be performed and purpose of building (By Floors) New Building lr Remodeling Addition Repairs No. of Stories Service Overhead L Size Feeders �!�/ s� n F•� Conduit.... �f. Main Sw -L Amps 1 ‘e) Main Fuses / v Amps Underground Type of Installation — Conduit Tubing Ci 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 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. er 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. My Commission Expires Notary Public, State of Florida E: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty mat gals 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 HEATER STRIP HEATER TOTAL CONTR. LIST 3 ' 17 / / / VICE /D) 75 7.5- / 4-o CHECK S ENT. SW. DIST. CAB. SERVICE TEMP. SER PERM. MOTORS O•I HP RS I•S HP N EON TRANS. RADIO TOTAL CONTR. LIST � CO A, / /01% / \[w CHECK /d c) j O l 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 work. Owner's Name and Address Registered Architect and /or Engineer C �� Employing Electrician's Name J n EL STATE OF FLORIDA, 1 COUNTY OF DADE. ! j I .. S9 .3.. $/ SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No 3 w..Z ce' Location and Legal Description Lot Block..? / Street and Number where work is to be performed— No.... /.Q._. 9 (Signed) No. h ._6 / Street... )V .kl. T(,?.6 f Date ? cf Street Street 1 Subdivision. ...fi..1 S ......7� State work to be performed and purpose of building (By Floors) New Building lr Remodeling Addition Repairs No. of Stories Service Overhead L Size Feeders �!�/ s� n F•� Conduit.... �f. Main Sw -L Amps 1 ‘e) Main Fuses / v Amps Underground Type of Installation — Conduit Tubing Ci 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 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. er 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. My Commission Expires Notary Public, State of Florida E: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty mat gals and /or workmanship. 07 7 gel 660 0 7S 7S° MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date .... /0 ,, -(z- 2 7 /1 r 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, Fiurida, 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. Permit No Owner's Name and Address. .L1 1. &P —5 17..Q. k ' No tit 3 Street.J.v �- q� 43 . 7 1 • Registered Architect and /or Engin er Employing Electrician's Name6P 01 / 1- 1‹. Q.. ' 2 . (.c- X10 . . Street... 1 T/ �! Cs 5 / r ` r Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / f 1 3 l/ Street..../ • (' - 1 f'i "(. . (L State work to be performed and purpose of building (By Floors)_...(... `Op(r. — i r1C.N..... .cQr✓t 4s? api - /10o{2�lp Ye. New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, t COUNTY OF DADE. f s '' n erground Size Feeders.. 4/ 70 Conduit ...2 '-. Sw....... 4 Amps Main Fuses e of Installation sr �Llbing B.X.L .Metal Moulding t of Permit $ j (Signed) Electrical i , The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as mer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent j •plement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors emplo T 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 p /c notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors on work to be performed and this permit, as are licensed by Miami Shores Village. (Signed) e/ 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. 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE H STRIP H EATER TOTAL CONTR. LIST CHECK E NT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. C k/ MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CL LIST /Ih _ A / �aai J J C(� ) i�� }. 4 1b 1. -` CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date .... /0 ,, -(z- 2 7 /1 r 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, Fiurida, 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. Permit No Owner's Name and Address. .L1 1. &P —5 17..Q. k ' No tit 3 Street.J.v �- q� 43 . 7 1 • Registered Architect and /or Engin er Employing Electrician's Name6P 01 / 1- 1‹. Q.. ' 2 . (.c- X10 . . Street... 1 T/ �! Cs 5 / r ` r Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No / f 1 3 l/ Street..../ • (' - 1 f'i "(. . (L State work to be performed and purpose of building (By Floors)_...(... `Op(r. — i r1C.N..... .cQr✓t 4s? api - /10o{2�lp Ye. New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, t COUNTY OF DADE. f s '' n erground Size Feeders.. 4/ 70 Conduit ...2 '-. Sw....... 4 Amps Main Fuses e of Installation sr �Llbing B.X.L .Metal Moulding t of Permit $ j (Signed) Electrical i , The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as mer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent j •plement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors emplo T 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 p /c notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors on work to be performed and this permit, as are licensed by Miami Shores Village. (Signed) e/ 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. 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. Architect Contractor or Builder Legal Lot Description Address of Building BUILDING ELECTRICAL PLYING ROOFING Owner of Building Wow to o Xo Ltti0111 nt, se 0 MIAMI SHOREa ILLA PERMIT / ? i This permit is granted td the contractat..or bWider n herefor in strict compliance with all ordinan es pertaining drawings, statements or specifications that May have time if the work is not done in compliant su granted Is the understanding that the conir pertaining to the work covered hereby whether sho done by his agents, servants or employees. In consideration of the issuance t o me pertaining thereto and in strict co • .a�ity with cepting this pelt I assume respcns +: ity° for all we III termed under ibis PssoR APPLICATION FOR ELECTRICAL PERMIT Permit No ) 4 v Date 4 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 Mimi 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 Location and Legal Description Lot Block _ Subdivision Street and Number where work is to be performed—No ...... .11. 13 ' y r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $.. STATE OF FLORIDA, } COUNTY OF DADE ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No Street No Street Street Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding C L.• • v -- - t (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 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, on work to be performod-•-gnder 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty mate • 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 7s ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No ) 4 v Date 4 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 Mimi 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 Location and Legal Description Lot Block _ Subdivision Street and Number where work is to be performed—No ...... .11. 13 ' y r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $.. STATE OF FLORIDA, } COUNTY OF DADE ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No Street No Street Street Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding C L.• • v -- - t (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 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, on work to be performod-•-gnder 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty mate • or workmanship. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit Not' , Date ... ''�„ . .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This application is made kk—compliastee and conformity with the Budding Ordinance of Miami . Shores Village, Florida, and all provisions of the Laws of the State of Plorid'a, all ordinances <if Miami Shores Village and all rules an regulations of the Budding DiaidOrt of Miami Shores Village shall be complied with, whether herein spetsified or not. A copy of approved plans and specifications must'te Ups o building during progress of work. � I ... ... ............................. Street. , ,. Owner's Nag and Address.,re MIAMI SHORES VILLAGE Registered A itect and /or Engineer /� 1{/ / Employing E1 rician's Name 4R�� No..,. 11 Street �!I Location and * al Description Lot , Block Subdivision Street and Number here work is to be performed —No /.) /3 Street„ .,,. .:......... State work to be rformed and purpose of building (By Floors) New Building..,,;) Remodeling Addition Repairs,,,,,,,,,, „,,,,,,,,,,,,,,,,,,,,,,,,,,No, of Stories,...,,....,......_ Service Overhead Size Feeders I ,nl‘vrgremn” Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I SS. 'r Type of Installation — Conduit Tubing- . B.X.L Metal Moulding.., .., ... .,....,... ....,...,.............. Conduit.,,!.. .:.,..Main Sw.---., ,. .Qry Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an pmp1 Qi of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent StI has complied wit! the provisions thereof, and will require similar compliance from all contractors or sub•contra employed by his 'M the work to be perfori d under this permit; and will post or cause to be posted for inspection on the site of the work such pistlic notice as are required by he Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pen licensed by Miami Shores Village. (Signed) A mps.. ... -.Main Fuses ..,.,,...�.,.:.�,.ps 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. materials and /or workmanship. 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE "P•T “s FIXTURES NO. LAMPS REPRIG. OUTLET IRON OUTLET RANGE CUTLET RANGE CONN. WATER HEATER W. HEAT, CONN, SPACE HEATER STRIP H EAT ER OTAt. CONTR. LIST /L /3 /3 . .2 7 /3 o 7 { CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. - RADIO GTJS. CONTR. LIST / / CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit Not' , Date ... ''�„ . .... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted or the building or other structure herein described. This application is made kk—compliastee and conformity with the Budding Ordinance of Miami . Shores Village, Florida, and all provisions of the Laws of the State of Plorid'a, all ordinances <if Miami Shores Village and all rules an regulations of the Budding DiaidOrt of Miami Shores Village shall be complied with, whether herein spetsified or not. A copy of approved plans and specifications must'te Ups o building during progress of work. � I ... ... ............................. Street. , ,. Owner's Nag and Address.,re MIAMI SHORES VILLAGE Registered A itect and /or Engineer /� 1{/ / Employing E1 rician's Name 4R�� No..,. 11 Street �!I Location and * al Description Lot , Block Subdivision Street and Number here work is to be performed —No /.) /3 Street„ .,,. .:......... State work to be rformed and purpose of building (By Floors) New Building..,,;) Remodeling Addition Repairs,,,,,,,,,, „,,,,,,,,,,,,,,,,,,,,,,,,,,No, of Stories,...,,....,......_ Service Overhead Size Feeders I ,nl‘vrgremn” Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I SS. 'r Type of Installation — Conduit Tubing- . B.X.L Metal Moulding.., .., ... .,....,... ....,...,.............. Conduit.,,!.. .:.,..Main Sw.---., ,. .Qry Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an pmp1 Qi of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent StI has complied wit! the provisions thereof, and will require similar compliance from all contractors or sub•contra employed by his 'M the work to be perfori d under this permit; and will post or cause to be posted for inspection on the site of the work such pistlic notice as are required by he Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pen licensed by Miami Shores Village. (Signed) A mps.. ... -.Main Fuses ..,.,,...�.,.:.�,.ps 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. materials and /or workmanship. 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.