146 NE 98 St (3)-b
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 3/x
Date
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 (,, �.i
'a it/ No /�� Street .'" -
Registered Architect and /or Enginee
Employing Electrician's Name
)PAZ a 0 7
Location and Legal Description Lot Block
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
No A2 /(r Street.. is ./94741 .
Subdivision bddivision �ry�
A Street /1 f� 4K'
Repairs No. of Stories
Service Size Feeders .. "#A Conduit 1z� Main Sw Amps .Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed) a a
Electrical Inspect
The undersigned applicant for this building permit does hereby certify that he understands and accep his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lorida 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.
SS.
My Commission Expires
(Signed) i...eloelw::t:, 'Ca.
Master Electrician.
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, 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.
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
— OUUTTLLETTSS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
•
ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
V
'7
--L /_
•
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
2
/
��, • _
/
,. /:,
/
r1
CHECK
7. ,?i:;
-b
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 3/x
Date
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 (,, �.i
'a it/ No /�� Street .'" -
Registered Architect and /or Enginee
Employing Electrician's Name
)PAZ a 0 7
Location and Legal Description Lot Block
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
No A2 /(r Street.. is ./94741 .
Subdivision bddivision �ry�
A Street /1 f� 4K'
Repairs No. of Stories
Service Size Feeders .. "#A Conduit 1z� Main Sw Amps .Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed) a a
Electrical Inspect
The undersigned applicant for this building permit does hereby certify that he understands and accep his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lorida 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.
SS.
My Commission Expires
(Signed) i...eloelw::t:, 'Ca.
Master Electrician.
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, 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.
Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
CONTRACTOR OR BUILDER
Er'" PERMIT N? 15228
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ Work to be performed under this permit
Bi
A
Signed•
Value of
Project f9
BY
DATE
Contractor's
UMW. Ho
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed la
drawings, statements or specifications that may have been submitted to and approved by the proper munidp l authorities. Thfe Pm
time if the work is not done in compliance with such ordinances or if the plans are changed without authorisation. A further con
granted is the understanding that the contractor or builder named above assumes the reepondbility fort thotouggh knowledge of
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or sperifkotions and that be
done by his agents, servants or employees.
BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all
pertaining thereto and in strict conformity with the plans, drawings, statements' or specifications submitted to the proper authorities of hewed
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
REQUEST FOR INSPECTION
•' Company
PHONE
Job
Address
Inspection
Time Ready A.M. P.M.
Date Ready
Permit No Z4 D
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Service
Overhead
Underground Size Feeders Conduit_ Main Sw.
No
New Building — ______ Remodeling ______ Addition 1�.� tiepairs
Type of Installation— Conduit______________Tubing Metal Moulding_
Amount of Permit $_• ( Signed)_
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 Addres
Registered Architect and/or Engin
Employing Electrician's N
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)
No / /b-
_Block
Date._af _Z _
i
Street ?
114 _____Street_____ /
Subdivision
_Street
No. of
Amps.--- _- ____ -_ Main Fuses________ _____Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h derstands and accepts his gations 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 p osted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. ) , 4'
Master Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
'TOTAL
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
Permit No Z4 D
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Service
Overhead
Underground Size Feeders Conduit_ Main Sw.
No
New Building — ______ Remodeling ______ Addition 1�.� tiepairs
Type of Installation— Conduit______________Tubing Metal Moulding_
Amount of Permit $_• ( Signed)_
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 Addres
Registered Architect and/or Engin
Employing Electrician's N
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)
No / /b-
_Block
Date._af _Z _
i
Street ?
114 _____Street_____ /
Subdivision
_Street
No. of
Amps.--- _- ____ -_ Main Fuses________ _____Amps
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h derstands and accepts his gations 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 p osted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. ) , 4'
Master Electrician.
Before me, the undersigned authority, a notary public, duly a uthorized 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 ......
....1..u. :..�...1
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 No „ Street
Registered Architect and /or Engineer.
Employing Electrician's Name 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
STATE OF FLORIDA, }
COUNTY OF DAD[
a.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation Conduit Tubing , B.X.L Metal Moulding
.
Z nx v r 4.
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida :Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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.
(Sign ed)... //l�
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
RECIVP
/IETURES
14 0. LAMPS
RE ►RIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
D 1ST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No ......
....1..u. :..�...1
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 No „ Street
Registered Architect and /or Engineer.
Employing Electrician's Name 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
STATE OF FLORIDA, }
COUNTY OF DAD[
a.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation Conduit Tubing , B.X.L Metal Moulding
.
Z nx v r 4.
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida :Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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.
(Sign ed)... //l�
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.
wMI�ISHORES VILLAGE, FLA.
/-<2 /
JOB ( ' 1 r .--- ,
ADDRESS /1/ f :,1 11 -- _ v ° .
i.
, t
INSPECTION
REMARKS:
N° 5706
TIME READY 4
-
INSPECTOR DATE
MI I SHORES VILLAGE, FLA.
JOB
INSPECTION
ADDRESS
f •
TIME READY
REMARKS:
INSPECTOR
DATE 4 0 i 7
.4"
"..
K
N? 5723
f )
Permit No
/s 7
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
., )
Date '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fo.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. �/ p�
Owner's Name and Address A / ..k� No 0 Scret..��
Registered Architect and /or Engineer
i l% • 1 �ti . .' .... ) AT. No ly <:` Street , ? /!�
Employing ElectnaaA's Name n.. >� - ---- ---•_•- `,,.,:d.' :d.'
Location and Legal Description Lot Block Subdivision.
Street and Number where work io to be performed —No `' Street /s 3 , t, `*
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeder .... . ain Sw Amps Main Fuses . Amps
thrderground
of Installation— Conduit Tubing... ... _ B.X.L.. Metal Moulding
a
L
mount of Permit $ (Signed) �� - �
$lectrical Inspector.
The undersigned applicant for this building permit does hereby celtify that he understands and accepts his oblipaa as an employe: 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.
(Signed) j
/ Master Electrician.
STATE OF LOR1DA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notaky public, duly authorized to administer oaths and take acknowledgments, personally
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•inspecton 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
OUTLET/3
LIGHT
OUTLETS
PLUG
RECE•P'T•S
FIXTURES
NO LAMPS
RE7R10.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
RADIO
TOTAL
LIBT
�C.!,��"f
A >i
✓ t�
Lam._
f�s-•.i.. �"
SERVICE
TEMP.
<. �:�...y
/
,J y �
SERVICE
PERM.
,/�
- f+i`
r_ !.
`� /- -
���
j
".✓
��`
/�
_
•^C L
MOTORS
1.5 HP
NEON
TRANS.
-
CHECK
TOTAL
®V *F`
ENT.
SW.
DIST.
CAB.
MOTORS
0.1 HP
CONTR.
LIST
CHECK
Permit No
/s 7
appeared
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
., )
Date '
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fo.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. �/ p�
Owner's Name and Address A / ..k� No 0 Scret..��
Registered Architect and /or Engineer
i l% • 1 �ti . .' .... ) AT. No ly <:` Street , ? /!�
Employing ElectnaaA's Name n.. >� - ---- ---•_•- `,,.,:d.' :d.'
Location and Legal Description Lot Block Subdivision.
Street and Number where work io to be performed —No `' Street /s 3 , t, `*
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeder .... . ain Sw Amps Main Fuses . Amps
thrderground
of Installation— Conduit Tubing... ... _ B.X.L.. Metal Moulding
a
L
mount of Permit $ (Signed) �� - �
$lectrical Inspector.
The undersigned applicant for this building permit does hereby celtify that he understands and accepts his oblipaa as an employe: 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.
(Signed) j
/ Master Electrician.
STATE OF LOR1DA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notaky public, duly authorized to administer oaths and take acknowledgments, personally
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•inspecton 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.
tilLDING
LECTRICAL
.UMBING
vvuer of
Aiding
ontractor
Builder
gal
escriptioi
tot
Work to performed under this Permit
- chitect
PERMIT N? 8604
MIAMI SHORES VILLAGE, FLORIDA
DATE
Bl.
idress of
&ling e:
Project
Value of II P
This p ... .,. is granted to the contractor or der named above to construct the building or to install the equiuznent or device
ion herefor in strict compliance with all ordinances pertaining thereto and with the tmderstanding that the work will be performed
-ns, drawings, statements or specifications that may have been submitted to and approved by the . .... m unkipal authorities. This
any time if the work is not done in compliance with such ordinances oe if the plans are changed authorization. further
mit is granted is the understanding that the contractor or builder named above Names the respond ... t for a
:ulations pertaining to the work covered hereby whether shown on the plans or or in the sta ts or
ility for work done by his agents, servants or employees.
Signed.
In consideration of the issuance to me of this permit I agree to perform
taining thereto and in strict confortnit3r with the plans, drawings, statements
atep this permit I as e responsibility for all work done by either my
CONTRACTOR OR BUILDER
Subdi-
vision
R
By
k covered hereunder in compliance with all
ecifications submitted to the proper authoritie
agent, servant or ejnployee.
UILDING
ECTRICAL
IUMBING
wner of
waited
ontractor
= Builder
- Lot
ascription
r w
4VPERMIT N? 5399
Work to be performed under this Permit " Yi1rL4.4) ti.hd j •
MIAMI SHORES VILLAGE, FLORMA
DATE
CONTRACTORM1 131TrLDEft 'lir
Subdi-
vision
Contractor's
License No-
uilding / * Y6 )24. • '''01 Project Permit
ddress of Value of Amt. a
This permit is granted to the contractor or builder named above. to construct the building or to install the equipment or device
Mon herefor in strict compliance with all ordinances pertaining thereto and with the uadertading that the work win be perii3rmed
drawings, statements or specifications that may have been submitted to and approved the proper menieipal authorities. This , . ..
any time if the work is not done in compliance with such ordinances or if the Wise are changed without aethorliation. A further
*nut is granted is the understanding that the contractor or builder named shave ammo the - bikt for a thorouib k
Eulations -pertaining to the work covered hereby whether shown on the plans *
sittments of -
lity for work done by his agents, servants or employees.
Signed:
400 ' 111 e
By_
• 01
In consideration of the issuance to me of this permit I agree to perform the work covered in compliance with all
tailing thereto and in strict conformity with the plans, drawinjps, statements or sp submitted to the proper authorities
• accepting this permit I assume respornibility for all work done by my ant or em
A. .
UILDING
ECTRICAL
.UMBING
7wner of
wilding
MIAMI SHORES VILLAGE, FLORI
DATE
PERMIT N? 5484
Lieelise ' , ,
Work to be performed under this Permit
/ ` At 0
rehitect
•
: ontractor
Builder
-egal Lot
tescription
ddress of
;*Wing
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or
lion herefor in strict compliance with all ordinances pertaining thereto and with the ding that the work >� be performed in
tea, drawings, statements or specifications that may have been submitted to and appro ed y the •. , opal authorities. This
any time
drawly s, wolris not done in «• , �pliance with such ordinances or if the plans ,. . A further ._
=mit is granted is the understanding • : t the contractor or builder named shove the` �` a , , know
Lions
Tnlity for work done by his agents, servants or employees.
pertaining to the work covered hereby whether shown on the Ow,
£ ,
„turn OR vumpor
Value of
Protect
In consideration of the issuance to me of this permit I agree to perform the
` staining thereto and in strict conformity with the plans, drawings, statements or
`• accepting this permit I assume responsibility for all work done by either myself, my
Signed: By ,
Amt. of
Permit
hereunder in compliance with all
submitted to the proper authoeities
servant or employee.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE. FLORIDA
❑
'M PERMIT N° 4988
Building Owner of C ' / 1 �•, � 1 ) C
Architect
Contractor /
or Builder / ' Y ( L
Legal Lot
Description Bl
Address of 4 /
Building �'t '+� /� +� j
CONTRACTOR OR BUIL'ER
Signed.
DA
Contractor's
License No.
/ 195/
IfrQ
Work to be performed under this Permit
L
BY
41 /ID j.,0
Subdi-
vision
Value of
Project $
Amount of
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 responsibi for a thorough ow • ge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings in the sta is or specificatiye s1 • • - mes responsibility for work
done by his agents, servants or employees.
Jet)
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered here er in compliance with all ordin• s and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submit to the proper authorities of Miami Shores Village. In ac-
cepting this pe I ` _ •nsibilit for all work done by either, myself, my agent, servant or employee.
AUTHORITY e41100
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
MIAMI SHORES VILLAGE. FLORIDA
❑
DATE ' 195
❑ PERMIT N? 6877 Contractors
License No.
❑ Work to be performed under this Permit
Owner of
Building
Lot
CONTRACTOR OR BUILDER
Bl
Address of
Building
Subdi-
vision
Value of II Amount of J� ----
Project $ I! 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 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.
r
Signed ' BY:
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, rap' agent, servant or employee.
r
"
BY AUTHORITY
BUILDING
ELECTRICAL
■ PLUMBING
Owner of , 1A
I Building / / ci , \ '
CO N ACTOR OR BADER
MIAMI SHORES VILLAGE, FLORIDA
DATE 4/- `-"(- 194
r
PERMIT N° 5484
Contra to 's /17
License Work to be performed under this Permit I';.�'- "'+..-
Architect
Contractor '
or Builder r i t, !j s f - ? ✓,.+ --
Legal Lot Bl. Subdi-
Description vision
Address of Value of Ant. of
Building 1 /; / 'i k- " ,z A Project 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 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 aro- changecVwithout authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above a vines the responsibility fora thorough knowledylg o ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or' w 1 pnr — or specifications a h e assumes respon-
sibility for work done by his agents, servants or employees. r/1 ; " $ '�
Signed. By
y
In consideration of the issuance to me of this permit I agree to perform th`e wg cove hereunder in compliance with all ordinances a� rwAilcitions
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autlawitites of Miami Mope? Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY
AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DATE 19.4_
ELECTRICAL 1 PERMIT N2 5399 Contractor's
PLUMBING License No.
ii Work to be performed under this Permit '
A..L.' •
Owner of I
f 414t- 7 / G+r+ `; , ,w
ti
Architect
Contractor
or Builder
Legal
Description
•
Lot Bl. Subdi-
vision
Address of Air of Amt. of
Building � '��G � ( 7 r 4 Project 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 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 ordinances and
regulations pertaining to the work covered hereby whether shown on the plans wings o e`tatements or specification d that assumes respon-
sibility for work done by his agents, servants or employees. ] / /,, .
• ✓j
Signed. +A By
INSPE TOR ,
In consideration of the issuance to me of this permit I agree to perform the work covered her der in compliance %vitl/Fetordinances ant r,,Qtatiogi
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriffes of Miami Shores Village.
In accepting this permit I assume responsibility for a work done by • mys- , my ag. servant or employee.
•
C t
CONTRACTOR OR BUILDER NL
97k5
AUTHORITY
\ r
APPLICATION FOR ELECTRICAL PERMIT
4 .i Permit No.___ _ Date____ 7 ..__.__ 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. / �
/hE , L - A 1 v No – – — -- . Street
Owner's Name and Address ___._ ___.._
Registered Architect and /or Engineer__ S �`
No
Employing Electrician's Name _____ _____ -- to ] 4 I ---- /' — – -- - --- --
*;? d
Location and Legal Description Lot 1 4 ck / l __— Subdivision_ —_— :.2.,/_..-__/—.......—
Street and Number where work is to be performed —No. ' +� Jam__________ Street " S�___—_
State work to be performed and purpose of building (By Floors)
New Building ll Remodeling Addition. Repairs No. of Stories ......... _.__-
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. as.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
Service Overhead Size Feeders.. Conduit___ /Y Main Sw t _1.c Amps. /0 U Main Fuses___�l? ______A
rground
Type of Installation— Conduit Tubing V B.X.L. .Metal Moulding
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.
(Signed)
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.
My Commission Expires Notary Public. State of Florida
•
•
Street_____._ _____
_
Master Electrican.
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
O UTLETS
PLUG
R ECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
O UTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL.
NTR•
CO IST
L
/C
/
1f
[/
-i-
/
r
/
/
/
.(
1
. N
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
\ r
APPLICATION FOR ELECTRICAL PERMIT
4 .i Permit No.___ _ Date____ 7 ..__.__ 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. / �
/hE , L - A 1 v No – – — -- . Street
Owner's Name and Address ___._ ___.._
Registered Architect and /or Engineer__ S �`
No
Employing Electrician's Name _____ _____ -- to ] 4 I ---- /' — – -- - --- --
*;? d
Location and Legal Description Lot 1 4 ck / l __— Subdivision_ —_— :.2.,/_..-__/—.......—
Street and Number where work is to be performed —No. ' +� Jam__________ Street " S�___—_
State work to be performed and purpose of building (By Floors)
New Building ll Remodeling Addition. Repairs No. of Stories ......... _.__-
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. as.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)
Service Overhead Size Feeders.. Conduit___ /Y Main Sw t _1.c Amps. /0 U Main Fuses___�l? ______A
rground
Type of Installation— Conduit Tubing V B.X.L. .Metal Moulding
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.
(Signed)
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.
My Commission Expires Notary Public. State of Florida
•
•
Street_____._ _____
_
Master Electrican.
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.
/' i
C. 10 / e
4
Owner's Name and Address
Registered Architect and /or Engines
Employing Electrician's Name ____________
Amount of Permit $__
STATE OF FLORIDA,
ss
COUNTY OF DADE..
My Commission Expires
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
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.
ELECTRICAL INSPECTION DEPARTMENT
___ No
No Street_
Location and Legal Description Lot_ ` ^ Block Subdivision_
Street and Number where work is to be performed—No .____1__ `C ' 4k. Street
State work to be perform¢ and purpose of building (By Floors)
New Building Remodeling Addition. Repairs
Service Overhead Size Feeders ______________ Conduit Main Sw _ Amps.
Underground
Type of Installation— Conduit Turing.. B.X.L. Metal Moulding
_(Signed)
(Signed) _ ______ _____
1 J
Notary Public. State of Florida
•
No. of Stories
Electric Ins. ctor.
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.
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
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 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 AT.
CO
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
+
r
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTO
0-1 H
MOTORS
I.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address
Registered Architect and /or Engines
Employing Electrician's Name ____________
Amount of Permit $__
STATE OF FLORIDA,
ss
COUNTY OF DADE..
My Commission Expires
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
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.
ELECTRICAL INSPECTION DEPARTMENT
___ No
No Street_
Location and Legal Description Lot_ ` ^ Block Subdivision_
Street and Number where work is to be performed—No .____1__ `C ' 4k. Street
State work to be perform¢ and purpose of building (By Floors)
New Building Remodeling Addition. Repairs
Service Overhead Size Feeders ______________ Conduit Main Sw _ Amps.
Underground
Type of Installation— Conduit Turing.. B.X.L. Metal Moulding
_(Signed)
(Signed) _ ______ _____
1 J
Notary Public. State of Florida
•
No. of Stories
Electric Ins. ctor.
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.
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
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 be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No 4
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s mitte for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Service Overhead Size Feeders
Underground
Amount of Permit $
New Building Remodeling Addition
STATE OF FLORIDA, l
COUNTY OF DADE. J j
APPLICATION FOR ELECTRICAL PERMIT
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
# ei No
Block
No..
Date
Street
Street
Street /4
Subdivision
"7
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
( Signed)
Elect 1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman nt Supplement, and
has complied with the provisions thereof, and will require similar com pliance 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.
(Signed) 4 6T— �.�- 69 ' r �
M..wc 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
OUTL TS
PLUG
P'T'S
RECE
FIXTURES
No.. LRAM - PS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H ATER
STRIP
HEATER
TOTAL
CL
ST
UST
g
6
rr
5/�__
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
�
/
CHECK
Permit No 4
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith s mitte for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Service Overhead Size Feeders
Underground
Amount of Permit $
New Building Remodeling Addition
STATE OF FLORIDA, l
COUNTY OF DADE. J j
APPLICATION FOR ELECTRICAL PERMIT
SS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
# ei No
Block
No..
Date
Street
Street
Street /4
Subdivision
"7
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
( Signed)
Elect 1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman nt Supplement, and
has complied with the provisions thereof, and will require similar com pliance 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.
(Signed) 4 6T— �.�- 69 ' r �
M..wc 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.