ELECTRICAL�ALDIMG
=ECTRICAL
_LUMBING
Owner of
Kuildin V ^�
Architect
Contractor
ar Builder 2
Legal t
description
Address of
wilding v(. '�
This permit is granted to the contractor or
named above to tract the building or to install the equipment
Mein herefor in strict compliance with all ordinan• ,: pertaining thereto and with the understanding that the work will be p
-cans, drawings, statements or specifications that may have been subthitted tdyand approved by the . munieipal authorities.
t any time if the work is not done in compliance with such ordinances or if the plans are changed authorization. A further
_.ermit is , : the understanding that the contractor or builder
the for 'a
_rations • -, to the work covered hereby whetter shown is or
4bility for work done his agents, servants or employees. .�
In consideration of the issuance to me of this permit I agree
pertaining thereto and in strict conftmity with .the plans, dra
In accepting this permit y awume bilk, for all work
MIAMI SHDRES VILLA E FLDRRI•D
DATE
ERMIT N° 6534
to be p e r f o r m e d under this P e r m i t . , t 4 °Y
t j,,rd C
MOW ,
Subdi-
vision
Value of
eot
Contractor's
No.
s i
) /'
Permit No
MIAMI S HO RES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION 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 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
Amount of Permit $
Registered Architect and /or Engineer _
/,p� 1.1-4 ~= -
Employing Electrician's Name ___L� e_.e__L!_i ^� � :�� - _____�
Location and Legal Description Lot
Block
(Signed)
________ Stree
street and Number where work is to be performed —No _ __ _ ____ Street
'%tate work to be performed and purpose of building (By Floors)
w Building Remodeling Addition ._____________
Subdivision____________
Rcpaits —___ No. of Stories
Service Overhead Size Feeders Conduit.__ Main Sw. Amps. Main Fuses__ Amps.
Underground
Type of Installation — Conduit ,___ Tubing ___ B.X.L.____._________.Metal Moulding
Electrical Inspector.
The undersigned applicaltt 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) . t 7 .<41
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
My Commission Expires Notary Public. State of Florida
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
7
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAC.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
s i
) /'
Permit No
MIAMI S HO RES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PPLICATION 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 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
Amount of Permit $
Registered Architect and /or Engineer _
/,p� 1.1-4 ~= -
Employing Electrician's Name ___L� e_.e__L!_i ^� � :�� - _____�
Location and Legal Description Lot
Block
(Signed)
________ Stree
street and Number where work is to be performed —No _ __ _ ____ Street
'%tate work to be performed and purpose of building (By Floors)
w Building Remodeling Addition ._____________
Subdivision____________
Rcpaits —___ No. of Stories
Service Overhead Size Feeders Conduit.__ Main Sw. Amps. Main Fuses__ Amps.
Underground
Type of Installation — Conduit ,___ Tubing ___ B.X.L.____._________.Metal Moulding
Electrical Inspector.
The undersigned applicaltt 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) . t 7 .<41
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
My Commission Expires Notary Public. State of Florida