ELECTRICALPermit No
)49y
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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.
Service Overhead Size Feeders Conduit
Underground
Type of Installation — Conduit Tubing
No.l .2t/
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivisi
Street and Number where work is to be performed —No / � , 5- I Street
State work to be performed and purpose of building (By Floors)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance f tractors or
work to be performed under this permit; and will post or cause to be poste • or inspectio on the site
as are required by the Act. The undersigned agrees to employ only such .ub- contracto ., on work to
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE: f ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
Street./
f - ; y
dam'
New Building Remodeling Addition/ Repairs _ " No. of Stories
.7'l /.3
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
bjperforme er this permit, as are
Master Electrician.
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
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
40 .
.
CHECK
Permit No
)49y
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
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.
Service Overhead Size Feeders Conduit
Underground
Type of Installation — Conduit Tubing
No.l .2t/
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot Block Subdivisi
Street and Number where work is to be performed —No / � , 5- I Street
State work to be performed and purpose of building (By Floors)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance f tractors or
work to be performed under this permit; and will post or cause to be poste • or inspectio on the site
as are required by the Act. The undersigned agrees to employ only such .ub- contracto ., on work to
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE: f ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
Street./
f - ; y
dam'
New Building Remodeling Addition/ Repairs _ " No. of Stories
.7'l /.3
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
bjperforme er this permit, as are
Master Electrician.
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
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 PC l/ No Street
Registered Architect and /or Engineer
Employing Electrician's Name--- .�y.Q.` ..61.E
Location and Legal Description Lot Block / di si
Subdivision
Street and Number where work is to be performed —No !! -..�� -- �S..rl} e V "4 Street `�� L`
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Servic —�— Size Feeders 1 11 ... .Conduit u d= Main Sw
■n•erground
Type of Installation— Conduit Tubing B.X.L
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE. I
68.
Date
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
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 inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
No Street
Repairs No. of Stories
Amps Main Fuses Amps
Metal Moulding
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(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 e• inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
REC�AE''P'T'S
FIXTURES
NO. LAMPS
14EFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
C
LIST
LIST
Nl
*.
`j'��ao'".j—
X .
n yy
�
! / S
/� O`
/ {-d C1
U
7
1
7
U
3
y�-
A
,,
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ In
CHECK
i l l 0 6
B
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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. /�
Owner's Name and Address PC l/ No Street
Registered Architect and /or Engineer
Employing Electrician's Name--- .�y.Q.` ..61.E
Location and Legal Description Lot Block / di si
Subdivision
Street and Number where work is to be performed —No !! -..�� -- �S..rl} e V "4 Street `�� L`
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Servic —�— Size Feeders 1 11 ... .Conduit u d= Main Sw
■n•erground
Type of Installation— Conduit Tubing B.X.L
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE. I
68.
Date
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
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 inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to
licensed by Miami Shores Village.
No Street
Repairs No. of Stories
Amps Main Fuses Amps
Metal Moulding
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(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 e• inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /workmanship.
3
/7
BUILDING ❑
ELECTRICAL
PLUMBING ❑
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Lot
r PERMIT N? 15886
Description I I
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
CONTRACTOR OR BUILDEI't
Bl.
Subdi-
vision
Value of
Project $
DATE
❑ Work to be performed under this Permit
Contractor's
License No
Amt. of
Permit
BY AUTHORITY
195
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 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 or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. „ „ __
Si ned 1 „ BY /� /j ..
g r '^ - — 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.