ELECTRICALMIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
X/ � n APPLICATION FOR ELECTRICAL PERMIT
Q
Permit No /l�' Date . � / l
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida,
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....L.A.T. ef.V.R. • Q `L No....# .. v1.......Al .& Street wet s - Ace - -r
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Gp , { , c_
Street and Number where work is to be performed—No ...... / /a/..a`t....... 4Jc.. j.A �s` Street oo
State work to be performed and purpose of building (By Floors) Q..().. 2/.1�.�.l,.l? �D
E - EbeO.Ol/.)
New Building Remodeling ✓ Addition Repairs No. of Stories
Amount of Permit S....
es.
bs
The undersigned applicant for this building permit does hereby certify that he
labor under the Florida Workmen's Compensation Act, being Section 5966, Compi
has complied with the provisions thereof, and will require similar compliance fro
work to be performed under this permit; and will post or cause to be posted for in
as are required by the Act. The undersigned agrees to employ only such sub•contr
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized
appeared
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
(Signed ). �'—. �'t '.i.!QN g')
rstands and accepts his
eneral Laws of Florid
contra ors or sub-cont
ion on a site of the
s, on ork to be perf
to administer oaths and
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
therein by him stated are true.
Subdivision
take
fo
Electrical Inspector.
obligations u an employer of
Pc anent Supplement, and
employed by him in the
h public notice or notices
nder this permit, as are
O Witiek,
acknowledgments, personally
sign the same, and that all facts
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 51.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
0
PLUG
RECE'P•7'S
FIXTURES
NO. LANDS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
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
X/ � n APPLICATION FOR ELECTRICAL PERMIT
Q
Permit No /l�' Date . � / l
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida,
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....L.A.T. ef.V.R. • Q `L No....# .. v1.......Al .& Street wet s - Ace - -r
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Gp , { , c_
Street and Number where work is to be performed—No ...... / /a/..a`t....... 4Jc.. j.A �s` Street oo
State work to be performed and purpose of building (By Floors) Q..().. 2/.1�.�.l,.l? �D
E - EbeO.Ol/.)
New Building Remodeling ✓ Addition Repairs No. of Stories
Amount of Permit S....
es.
bs
The undersigned applicant for this building permit does hereby certify that he
labor under the Florida Workmen's Compensation Act, being Section 5966, Compi
has complied with the provisions thereof, and will require similar compliance fro
work to be performed under this permit; and will post or cause to be posted for in
as are required by the Act. The undersigned agrees to employ only such sub•contr
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized
appeared
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
(Signed ). �'—. �'t '.i.!QN g')
rstands and accepts his
eneral Laws of Florid
contra ors or sub-cont
ion on a site of the
s, on ork to be perf
to administer oaths and
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
therein by him stated are true.
Subdivision
take
fo
Electrical Inspector.
obligations u an employer of
Pc anent Supplement, and
employed by him in the
h public notice or notices
nder this permit, as are
O Witiek,
acknowledgments, personally
sign the same, and that all facts
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of 51.00 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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
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 progreu of wok
Owner's Name and Address
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES
ELECTRICAL INSPECTION DEPARTMENT
No 1122
Date 11 ) 6 *
Street \"(\. A Et ��.+[..
Registered Architect and /or Engineer Engineer
Employing Electrician's Name "" t ` No Street
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
"Mu ... AP !1 .Q
Sery !r
ice Overhead Site Feeders r �O Conduit 1 Main Sw Amps Main Fuses Amps
nderground
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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.
STATE OF FLORIDA,
COUNTY OF DADE. I "
(Signed).
(Signed)
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
OuTLaTs
LIGHT
0
PLUG
RECE•P'T'S
FIXTURES
NO. LAMPS
REPAID.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
H
STRIP
H
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
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 progreu of wok
Owner's Name and Address
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES
ELECTRICAL INSPECTION DEPARTMENT
No 1122
Date 11 ) 6 *
Street \"(\. A Et ��.+[..
Registered Architect and /or Engineer Engineer
Employing Electrician's Name "" t ` No Street
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
"Mu ... AP !1 .Q
Sery !r
ice Overhead Site Feeders r �O Conduit 1 Main Sw Amps Main Fuses Amps
nderground
Type of Installation -- Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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.
STATE OF FLORIDA,
COUNTY OF DADE. I "
(Signed).
(Signed)
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.
Permit No
►
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date Ifr tr- 7 .
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida,
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
Owner's Name and Address " �.'.1 ' �� � No Z Z !V �V Street
Registered Architect and /or Engineer
Employing Electrician's Name.... .!1...( g"" No Street
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
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ ,.,J•r. (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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. C
(Signed). a.
Muter Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. I °"
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
0
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.
REFR10.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
LIST
J
CHECK
Permit No
►
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date Ifr tr- 7 .
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida,
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
Owner's Name and Address " �.'.1 ' �� � No Z Z !V �V Street
Registered Architect and /or Engineer
Employing Electrician's Name.... .!1...( g"" No Street
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
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ ,.,J•r. (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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. C
(Signed). a.
Muter Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. I °"
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.