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ELECTRICALPermit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 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 2.1.11.+_! Registered Architect and /or Engineer __ ,r. Employing Electrician's Name - - ,. ' . [_ -L__A_ fi r.! -�•'_1.k No. - -a' = = ___ ' j' ` . Location and Legal Description Lot 1 _-1 _Block _ • Subdivision___ Street and Number where work is to be performed —No _ L.- — Subdivision_ .... Street State work to be performed and purpose of building (By Floors) 4.-- ' I.-Li- ,,.1 ':: --___ .1' .t - _.__.:--_ New Building Remodeling Addition/ Repairs _____________ ____:___ —__ No. of Stories---_ _______ _ -_ CONTR. LIST CHECK CONTR. LIST CHECK ENT. Sw. Amount of Permit $ DIST. CAS. SERVICE TEMP. STATE OF FLORIDA, COUNTY OF DADE. ss• SERVICE PERM. Service Overhead Size Feeders_____ Conduit____________ Main Sw. Underground Type of Installation — Conduit Tubing B.X.L„ f / The undersigned applicant for t s bui i . per t do by cet under the Florida Workmen's Comp . sation t, bei S t • . 5966, < plied with the provisions thereof, and will e u ar compliance performed under this permit; and Ntrill post or ca s• o be posted or required by the Act. The under fined agrees to mploy only ch licensed by Miami Shores Village. \ Before me, the undersigned authority, appeared to me well known, and who, being by me first duly sworn. upon oath d of the above described construction, that be has carefully read the f therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re. materials and /or workmanship. r' • No-___� MOTORS 0-1 HP i not . public, duly a M NI i Q. r MOTORS 1-5 HP 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 NEON TRANS. t ri RADIO TOTAL TOTAL BUILDING ELECTRICAL PLUMBING Work to be f ] Owner IC, . Building /j�j/ = /''t%�l�•� sibility for work done by his agents, servants or employees. MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4737 rformed under this Permi Architect Contractor or Builder Legal Lot 1 Bl. Description ` moo"' Address of ++ Building _ s • ' , , This permit is granted to the con actor or build. "•mbd above to construct the building or to install the equipment or d•vice described in the appli- cation 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 at e • ss s respon- L Signed. � • '� - =7 By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunde in compliance with all ordinances d regulations pertaining thereto and in strict conformity with. the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villase. In acting this permit I •• e • • ibility for work done by either myself, my agent, servant or employee. 1 ,0 '7 ) Subdi- vision Value of Project DATE Contract License 19 AUTHORITY • BUILDING ELECTRICAL PLUMBING Owner of � Building Architect Contractor or Builder "" E Legal Lot Description j , . Address of i' °; � � , F Value of Amt. of .` Building i " t ' �* Project Permit�F This permit is granted to the contractor or builde named above to construct the building or to install the equipment pi - dev e described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be t erform d 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 - respond • ility ffr a ugh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or - ..- : • ' 1 . e . atem is o specifications and that he assumes respon- sibility for work done by his agents, servants or employees. x , In consideration of the issuance to me of this permit I agree to perform the work coved h: eunder inebmpliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications .ubmitted t6 the proper autlibnities of Mimi Sbptes5'illage. In accepting permit _ I Ia asssume r nsibilit for all work done by either myself, my agent, ser ant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 4856 Work to be perforpned and Bl. this Permit Signed ubdi- vision BY DATE Contractor's ,# D ense No. AUTHORITY By 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 spgcifhed r A copy of approved plans and specifications must be kept at building during progress of work. 3 Owners Name and Address No. _______: —_ Street__¢ ____________ Registered Architect and /or Engineer �__ -- —_— 0-4411 Employing Electrician's Name / .0 Z 13 f __ - l_l_!I ___ .. _2_ Street ' `- c C 1' Location and Legal Description Lot _Block Street__ __- -- -- ---- ! _ -- - -- S -__ - - - - - Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building ' Remodeling Addition Repairs —_ -_ No. of Stories Service Overhead Size Feeders AP LICATION FOR ELECTRICAL PERMIT �J Underground Type of Installation— Conduit Tubing 4 " B.X.L Metal Moulding �y/ �_� 4‘7,44.•41 OtC is 1pJt.JTJ Amount of Permit $_ 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. STATE OF FLORIDA, COUNTY OF DADE. 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 be did sign the same, and that all facts therein by him stated are true. materials and /or workmanship. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / My Commission Expires 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 /O �L' ••"..� imp .i Main Sw 6 ___ Amps. Main Fuses Amps. (Signed) ----- (Signed) • Date_ Notary Public. State of Florida ctrical Inspector. c Master Electrican. 1 • ., t• 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 of ,i / I � / 0 1. '' / / �` - CHECK � 3 d ENT. DIST. SERVICE SERVICE M OTORS M OTORS N EON R ADIO TO TAL SW. CAD. TEMP. PERM. 0-1 HP 1 -5 HP TRANS. CONTR. LIST / / / CHEC j { J ' ���� r / w � A(A * � ►K � O ," ' ' „m7r 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 spgcifhed r A copy of approved plans and specifications must be kept at building during progress of work. 3 Owners Name and Address No. _______: —_ Street__¢ ____________ Registered Architect and /or Engineer �__ -- —_— 0-4411 Employing Electrician's Name / .0 Z 13 f __ - l_l_!I ___ .. _2_ Street ' `- c C 1' Location and Legal Description Lot _Block Street__ __- -- -- ---- ! _ -- - -- S -__ - - - - - Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building ' Remodeling Addition Repairs —_ -_ No. of Stories Service Overhead Size Feeders AP LICATION FOR ELECTRICAL PERMIT �J Underground Type of Installation— Conduit Tubing 4 " B.X.L Metal Moulding �y/ �_� 4‘7,44.•41 OtC is 1pJt.JTJ Amount of Permit $_ 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. STATE OF FLORIDA, COUNTY OF DADE. 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 be did sign the same, and that all facts therein by him stated are true. materials and /or workmanship. ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / My Commission Expires 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 /O �L' ••"..� imp .i Main Sw 6 ___ Amps. Main Fuses Amps. (Signed) ----- (Signed) • Date_ Notary Public. State of Florida ctrical Inspector. c Master Electrican. 1 • ., t• BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4737 Work to be p rformed under this Permi Owner of.. Building Architect Contractor or Builder ,Legal Lot Description ie .•o^ Bl. Signed• Subdi- vision Address of Value of Amt. of Building � Project Permit This permit is granted to the con actor or build ini3d" above to construct the building, or to install the equipment or d ice 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 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 ass respon- sibility for work done by his agents, servants or employees. NSP TOC In consideration of the issuance to me of this permit I agree to perform the work covered hereundeyfin compliance with all ordinances {I!9 regulations pertai • g thereto and in strict conformity with the lans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acc ting this permit I ibility for work done by either myself, my agent, servant or employee. OR OR BVI1iiER - BY DATE Contract License By /7 191, /19f AUTHORITY • BUILDING ELECTRICAL PLUMBING ROOFING Contractor or Builder Legal Lot Description Address of Building / PERMIT 11T° 3885 Owner of Building' Architect r";•. MIAMI SHORES VILLAGE. FLORIDA CONTRACTOR OR BUILDER BY F./ DATE # Contractor's License No. Work to be performed under this Permit BI Signed. BY 2,4/ INSPECTOR Subdi- vision Value of I Amount of Project $ I Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. i 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. AUTHORITY 'W BUILDING =LECTRICAL tUMBING Architect Contractor Dr Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 4856 Work to be perf w ed under this Permit Owner of ;, ' '•,,,.,...�,,,. Building DATE I' 194 Contractor's Li9ense No Legal Lot BI. bdi- Description vision Address of s Building j' Project Permit This permit is granted to the contractor or builder amed above to construct the building or to install the equipment o(devi described in the appli- cation herefor in strict compliance with all ordinances per ining 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 assume,,, .t1e "respo 'r lity f. a t jero igh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or .� . , '. or s )er'fications and that he assumes respon- sibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covered h: eunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications . bmitted to the proper authorities of Miami Shores Village. In accepting errmit I assume resp nsiibili t f�for all work done by either myself, my agent, servant or employee. / l CONTRACTOR OR BUILDER Signed: Value of Amt. of ; BY AUTHORITY 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 _ _L1'h • Registered Architect and /or Engineer ,r l APPLICATION FOR ELECTRICAL PERMIT The undersigned applicant for t. s bui under the Florida Workmen's Comp sation plied with the provisions thereof, and will performed under this permit; and i11 post or required by the Act. The under signed agrees licensed by Miami Shores Village. ` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Employing Electrician's Name __.!s d__ _L.� N Location and Legal Description . Lot Block –' Subdivision-w___ 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 Amount of Permit $__ Before me, the undersigned authority, appeared to me well known, and who, being by me first of the above described construction, that he therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be mat materials and /or workmanship. No . - -t - `– _. – – -- - -- Service Overhead round Size Feeders Conduit.____________ Main Sw . __�____ Am s. Type of Installation — Conduit / Tubing B.X.L., Metal n i Date tc cr12. j ) c (-_ / ' / t). �. STATE OF FLORIDA, 1 INSPECTION " F, ,.) COUNTY OF DADE. �� 'OR W___ Main Fuses-_______ .-__-_-_--_-Amps. I c 1 Village of Miami Shores N? 4560 TIME READY 1 duly sw REMARKS has caret DATE 7- /( --4Z- 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. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK A 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 _ _L1'h • Registered Architect and /or Engineer ,r l APPLICATION FOR ELECTRICAL PERMIT The undersigned applicant for t. s bui under the Florida Workmen's Comp sation plied with the provisions thereof, and will performed under this permit; and i11 post or required by the Act. The under signed agrees licensed by Miami Shores Village. ` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Employing Electrician's Name __.!s d__ _L.� N Location and Legal Description . Lot Block –' Subdivision-w___ 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 Amount of Permit $__ Before me, the undersigned authority, appeared to me well known, and who, being by me first of the above described construction, that he therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be mat materials and /or workmanship. No . - -t - `– _. – – -- - -- Service Overhead round Size Feeders Conduit.____________ Main Sw . __�____ Am s. Type of Installation — Conduit / Tubing B.X.L., Metal n i Date tc cr12. j ) c (-_ / ' / t). �. STATE OF FLORIDA, 1 INSPECTION " F, ,.) COUNTY OF DADE. �� 'OR W___ Main Fuses-_______ .-__-_-_--_-Amps. I c 1 Village of Miami Shores N? 4560 TIME READY 1 duly sw REMARKS has caret DATE 7- /( --4Z- BUILDING ELECTRICAL PLUMBING Owner l c Building Architect Contractor or Builder .s' 4 .°4°'+w TOR OR B Work to be MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 4737 rformed under this Permi Subdi- vision DATE Legal Lot Bl. 3 Description /4� .rR` Address of Value of Building _ 4 _ Project This permit is granted to the con actor or build med above to construct the building or to install the equipment or d vice described in the appli- cation 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 at e . s s respon- sibility for work done by his agents, servants or employees. Signed. Si d• '� \ ' `, By • i INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunde(in compliance with all ordinances ' d regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. Contract License Amt. of Permit In ac ting this permit I y ibility for 11 work done by either myself, my agent, servant or employee. r 19 AUTHORITY BUILDING ELECTRICAL PLZJMBING Owner of v Building Architect CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA, DATE 194= PERMIT N? 4856 Work to be performed and this Permit ` " "`''" fA Contractor or Builder + "` E `' Legal Lot Bl. Description Address of ° " Value of Amt. of I Building -` "`° t` ") t + » ' Project Permit ,• This permit is granted to the contractor or builde named above to construct the building or to install the equipment pi. dev e described in the appli- cation herefor in strict compliance with all ordinances pe aining thereto and with the understanding that the work will be perform d 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 - respond . ility f9r a ugh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or e . atem is o specifications and that he assumes respon- sibility for work done by his agents, servants or employees. l+•�.,� Signed - z �i . By • s • ; In consideration of the issuance to me of this permit I agree to perform the work covered h eunder in¢Umpliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications .ubmitted to the proper aut 4ties of Mimi S'hpxes�illage. In accepting ermit I assume resppnsibilit for all work done by either myself, my agent, ser ant or employee. ubdi- vision BY IN Contractor's L)ense No AUTHORITY 4- Permit No. L, Street and Number where work is to be performed —No MIAMI SHORES VI LLAG E ELECTRICAL INSPECTION DEPARTMENT AP LICATION 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 sp d r A copy of approved plans and specifications must be kept at building during progress of work. 49 too — L Owner's Name and Address V A No._ / ` -. / r I f _ ______ Street___ Registered Architect and /or Engineer *041 Employing Electrician's Name ! ‘. x . i (_ . /__! l No._2 1 1 _ .. Street______ ." `• ` j Location and Legal Description Lot i G Block -1 / 2 (..,'► State work to be performed and purpose of building (By Floors) New Building ' Remodeling Addition.. Repairs —___ No. of Stories t/ Service Overhead Size Feeders C onduit -_ /__ Main Sw.______ Amps. _ C ' I Main Fuses___ —_ Amps. Underground Type of Installation— Conduit Tubing +" B.X.L Metal Moulding — ___— _______ __ — __— __________ 4LL l�1� tea' .071 � yv Amount of Permit $_ OF FLORIDA, COUNTY OF DADE. ss. materials and /or workmanship. / My Commission Expires 1 J i •o.zoyil (Signed) (Signed) Date -- Notary Public. State of Florida l 7 / Master Electrican. 7 _ c. Street - fr � — �- - - ctrical 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. 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 7 SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON RANGE RANGE OUTLET OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST j a '.^ / Il ,/ / �9 ,.� 1 / � � CHECK ,„<:5 / -. Lf� f _ ', ! I � ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS NEON 1 -5 HP TRANS. RADIO TOTAL CONTR. LIST / J / 1- ` oo M D u4 '' . f) � ��,., I v,- «.r, r +c.- . c , CHECK Permit No. L, Street and Number where work is to be performed —No MIAMI SHORES VI LLAG E ELECTRICAL INSPECTION DEPARTMENT AP LICATION 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 sp d r A copy of approved plans and specifications must be kept at building during progress of work. 49 too — L Owner's Name and Address V A No._ / ` -. / r I f _ ______ Street___ Registered Architect and /or Engineer *041 Employing Electrician's Name ! ‘. x . i (_ . /__! l No._2 1 1 _ .. Street______ ." `• ` j Location and Legal Description Lot i G Block -1 / 2 (..,'► State work to be performed and purpose of building (By Floors) New Building ' Remodeling Addition.. Repairs —___ No. of Stories t/ Service Overhead Size Feeders C onduit -_ /__ Main Sw.______ Amps. _ C ' I Main Fuses___ —_ Amps. Underground Type of Installation— Conduit Tubing +" B.X.L Metal Moulding — ___— _______ __ — __— __________ 4LL l�1� tea' .071 � yv Amount of Permit $_ OF FLORIDA, COUNTY OF DADE. ss. materials and /or workmanship. / My Commission Expires 1 J i •o.zoyil (Signed) (Signed) Date -- Notary Public. State of Florida l 7 / Master Electrican. 7 _ c. Street - fr � — �- - - ctrical 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. 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 7