ELECTRICALLegal Description
/ Lessee / Tenant
Owner's Address
Signature of owner and /or Cond
Date:
Notary as to Owner and /or Cond
My Commission Expires:
NOTARY PUBLIC OF F!
MY r.OMMSSION EXP. .20,
** ?OED TIiRw.1 ME" , ipt4A
APPROVED:
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address `` 1 c\c8. 9tituj Tax Folio
C V6 S Phone r iS '1
Contracting Co.15g -3 ., Address ISI = _ _ Q.13
Qualifier �e�� . Phone 1. 75"1- ��(��
State 1AP Muni cipal AN1� ompetency Ik \T [ns.Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle
WORK DESCRIPTION .� A
ti /
Nit
NIA
one): BUILDIN
Address
Address
Address
Master Permit it �� 7
ELECTRICAL
Square Ft. Estimated Cost(value) 4 .2 moz,E <
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated
President
ent
* *
FEES: PERMIT X30. RADON
Mechanical
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
milder .,
nature of Contr ;eor Owner- Builder
Notary as to Contractor or
My Commission ExpirePART EXP. ..___,,
BONDED pON1 Ram
* * * * * *. * * **
C.C.F. f NOTARY TOTAL DUE 4 5
Fire Other
Building Electric
Plumbing Engineering
Permit No S/ ,
Owner's Name and Address
APPLICATION FOR ELECTRICAL PERMIT
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
Registered Architect and /or Engineer
Employing Electrician's Name..
` ; 4 L v
D
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New BuildIng.. ®L Remodeling Addition Repairs No. of Stories
Serv Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. Jt sa.
'Pr
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
pi,ef .1
No Street... ... .
11
No 7°
......
Block
(Signed)
(Signed)
1
e
Mb f i
Street
�
Subdivision / • e� '
Street. ..... 1 '
Notary Public, State of Florida
/ /-4
Master Electrician.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o• igations 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 erformed 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.
NOTE: A re-inspection fee of $1.00 will be made when such re- inspecti is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
1
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.
TDB
HA TER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
1-
CHECK
t%
'
l
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
IST
LIST
CHECK
I 0
Permit No S/ ,
Owner's Name and Address
APPLICATION FOR ELECTRICAL PERMIT
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
Registered Architect and /or Engineer
Employing Electrician's Name..
` ; 4 L v
D
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New BuildIng.. ®L Remodeling Addition Repairs No. of Stories
Serv Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. Jt sa.
'Pr
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
pi,ef .1
No Street... ... .
11
No 7°
......
Block
(Signed)
(Signed)
1
e
Mb f i
Street
�
Subdivision / • e� '
Street. ..... 1 '
Notary Public, State of Florida
/ /-4
Master Electrician.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o• igations 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 erformed 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.
NOTE: A re-inspection fee of $1.00 will be made when such re- inspecti is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
1
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE
4E PERMIT N9 5042
Owner of r;
Building 't '-`.
Architect
Contractor
or Builder
Legal
Description
Lot
B1
Contractor's ( , p
License No. L'-; f /
Work to be performed under this Permit
Subdi-
vision
Address of r Value of Amount of .l
Building r r i / �' Project $ II Permit $ ; , '
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. . J INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 'regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
r.r
BY AUTHORITY •ceor
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
o PERMIT xa 5135
MIAMI SHORES VILLAGE, FLORIDA
Building j
Architect
Contractor
or Builder
Legal Lot 11
Description 131
CONTRACTOR OR BUILDER
DATE
Contractor's
License No.
'-7
Y19
Work to be performed under this Permit —
- ,
Subdi-
vision
Address of Value of Amount of
Building / - / $ II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Permit No , z=6 - 0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 3"
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 v� y /� f`
�� �� L / No // 7 .7 Street / ��
Registered Architect and /or Engineer /`/ � 7 �
Employing Electrician's Name. � � UY « L/ 4-we '� ^- G �-c S-410 ! / i / �� Street V / , j C
Location and Legal Description Lot Block Subdivision
State work to be performed and purpose of building (By Floors) "pd' ..C-& e.:
Street and Number where work is to be performed —No // 79
New Building Remodeling Addition Repairs No. of Stories
Overhead � 4 ,/ Conduit Main Sw Size Feeders.. Service Underground CAmps Main Fuses Amps
Type of Installation — Conduit � Tubing B.X.L Metal Moulding
Amount of Permit $ / (Signed) `'tom
lectrical InspegcEd"i('
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, , l
COUNTY OF DADE. I
SS.
(Signed).
Street..
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. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/c1OZ
CHECK
Permit No , z=6 - 0
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date 3"
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 v� y /� f`
�� �� L / No // 7 .7 Street / ��
Registered Architect and /or Engineer /`/ � 7 �
Employing Electrician's Name. � � UY « L/ 4-we '� ^- G �-c S-410 ! / i / �� Street V / , j C
Location and Legal Description Lot Block Subdivision
State work to be performed and purpose of building (By Floors) "pd' ..C-& e.:
Street and Number where work is to be performed —No // 79
New Building Remodeling Addition Repairs No. of Stories
Overhead � 4 ,/ Conduit Main Sw Size Feeders.. Service Underground CAmps Main Fuses Amps
Type of Installation — Conduit � Tubing B.X.L Metal Moulding
Amount of Permit $ / (Signed) `'tom
lectrical InspegcEd"i('
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, , l
COUNTY OF DADE. I
SS.
(Signed).
Street..
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.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT /�
Permit No 1 �� Date / 6
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 comjlied 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
State work to be performed
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
65.
MIAMI SHORES VILLAGE
Registered Architect and /or Engine
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
and purpose of building (By 1 o �
Block
(Signed)
No / 7f Street
The undersigned applicant for this building permit does hereby certify that he understands and
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspectio on the site
as are required by the Act. The undersigned agrees to employ only such subcontractor./on work to
licensed by Miami Shores Village.
Stree
S
re tvision
et.
New Building Remodeling Addition Repairs ` No. of Stories f
Service Overhead Size Feeders Conduit Main Sw �.Amps Main Fuses mp!
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
pts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
b under this permit, as are
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
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
C LIST ONTR.
�
P O
34
CHECK
,
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS N EON
1.0 HP TRANS. .J
RADIO
TOTAL
_
CONTR.
LIST
�D
-/,
� , IR}� �� (�- r�4GC=
s?
CHECK
__
�x -- 4 2`'O°
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT /�
Permit No 1 �� Date / 6
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 comjlied 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
State work to be performed
Amount of Permit $
STATE OF FLORIDA, l
COUNTY OF DADE. I
65.
MIAMI SHORES VILLAGE
Registered Architect and /or Engine
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
and purpose of building (By 1 o �
Block
(Signed)
No / 7f Street
The undersigned applicant for this building permit does hereby certify that he understands and
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspectio on the site
as are required by the Act. The undersigned agrees to employ only such subcontractor./on work to
licensed by Miami Shores Village.
Stree
S
re tvision
et.
New Building Remodeling Addition Repairs ` No. of Stories f
Service Overhead Size Feeders Conduit Main Sw �.Amps Main Fuses mp!
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electrical Inspector.
pts his obligations as an employer of
of Florida Permanent Supplement, and
sub-contractors employed by him in the
of the work such public notice or notices
b under this permit, as are
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.
BOILDING
ELECTRIC-W.
P PLUMBlyip
L
Owner of t
Building
Z
PERMIT N? 6315
Work to be performed under this Permit 111
Architect
6oiltractor
or Builder
Legal Lot Bl. / e
Description
Address of
Building
• r '
/ CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA ,.r,
DATE ';�' 194
Contractor's
License No.
Subdi-
vision
Value of
Project
This permit is granted to the contractor or build: named above to ..nstruct the building or to install the equipment or de ce described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the, sesponsib' i for a thorough knowle a gf-dse ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or. drawings or in the ments or specifications AuSal3dssumes respon-
sibility for work done by his agents, servants or employees. �
Signed • y ' f fAr ." specifications
. °1\ SPE TO
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and Legulakions
pertaining thereto and in strict conformity with the plans, drawings, statements or specificati s- submitted. to the proper authorities of Miami Sho s. Yi1lftge.
In accepting this permit 1 assume responsibility for all work done by either myself, my ag , servant or employee.
BY
Amt. of
Permit
jidt
+er
AUTHORITY
BUILDING
* ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 6474
Work to be performed under this Permit
/ .i .f'
Bl.
A
Address of Value of
Building r ,, ..1 Project yy
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or�desehescribed in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge qf` the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in thd,statements or specifications and,that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed „01'x; By , , c By / '-
INSPECTOR 0
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami°jSh &es Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
1
Subdi-
vision
BY
DATE r'
1
Contractor's
icense No.
Amt. of
Permit '
AUTHORITY
194,„A_
ermit No
APPLICATION FOR ELECTRICAL PERMIT
+MIA■I SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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,
a_r_L.4..altprovisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miam 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 . i 4
Registered .Architect and /or Engineer
Employing Electrician's Name __, -Z_Z L y____ _ No — ________________ —__ Street____—_______ —______
.�
Location and Legal Description Lot _____________ — Block 1. — _ __________ Subdivision _ —_ —_ _____________ —____
Street and Number were work is to be performed —No 2 e ':.1____i 71 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs _____________________ No. of Stories
Amount of Permit $ J ` _ /— —'
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
r t No.
Service Overhead Size Feeders Conduit _ Main Sw _ ___: Amps. Main Fuses
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
(Signed)
4
(Signed)
_44
d
Street__ �___'_______ —_
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 com-
plied 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 under signed 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, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Master Electrican.
Amps.
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
UTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EAT
TOTAL
LIST
CHECK
^�
`� `
_
� /�
e
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SER CE
PE M.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
■
ermit No
APPLICATION FOR ELECTRICAL PERMIT
+MIA■I SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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,
a_r_L.4..altprovisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miam 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 . i 4
Registered .Architect and /or Engineer
Employing Electrician's Name __, -Z_Z L y____ _ No — ________________ —__ Street____—_______ —______
.�
Location and Legal Description Lot _____________ — Block 1. — _ __________ Subdivision _ —_ —_ _____________ —____
Street and Number were work is to be performed —No 2 e ':.1____i 71 Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs _____________________ No. of Stories
Amount of Permit $ J ` _ /— —'
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
r t No.
Service Overhead Size Feeders Conduit _ Main Sw _ ___: Amps. Main Fuses
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
(Signed)
4
(Signed)
_44
d
Street__ �___'_______ —_
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 com-
plied 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 under signed 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, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
Master Electrican.
Amps.
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.
1
J
•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
f "`
Permit N .t_ -L_ Date
Application is 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. _ �J
Owner's Name and Address —___ No.
Registered Architect and /or Engineer
Employing Electrician's Namet'
v
Location and Legal Description Lot _Block
Street and Number where work is to be performed —No / 6 1
New Building f
Remodeling Addition. Repairs No. of Stories
State work to be performed and pur pose of building (By Floors)
No .
2 9 Subdiv' ion_____��___ _ r
Street---- r=- ____
Service Overhead Size Feeders I Conduit / ?__ Main Sw.__ —_� Amps. _� Main Fuses_ =J _______Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding _,____..... ___.....
�__�___�___v________� —___ —�
Amount of Permit $__
STATE OF FLORIDA,
COUNTY OF DADE.
(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 com-
plied 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 t6 be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
(Signed)
Street__
Notary Public. State of Florida
Master Electrican.
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, that 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 In 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.
•
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
e Z
f �y
j G
l
24 6
/
/
/
/
/
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
1
J
•
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
f "`
Permit N .t_ -L_ Date
Application is 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. _ �J
Owner's Name and Address —___ No.
Registered Architect and /or Engineer
Employing Electrician's Namet'
v
Location and Legal Description Lot _Block
Street and Number where work is to be performed —No / 6 1
New Building f
Remodeling Addition. Repairs No. of Stories
State work to be performed and pur pose of building (By Floors)
No .
2 9 Subdiv' ion_____��___ _ r
Street---- r=- ____
Service Overhead Size Feeders I Conduit / ?__ Main Sw.__ —_� Amps. _� Main Fuses_ =J _______Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding _,____..... ___.....
�__�___�___v________� —___ —�
Amount of Permit $__
STATE OF FLORIDA,
COUNTY OF DADE.
(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 com-
plied 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 t6 be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
(Signed)
Street__
Notary Public. State of Florida
Master Electrican.
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, that 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 In made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.