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363 NE 98 StBUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder Legal Lot II BI. Description. Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15428 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER Subdi- vision Value of Project $ DATE 195 Contractor's License No 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 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. 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee II ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Miami Shores Village, Fla , 19 Contractor or Electrician NO. STREET tiami AoresCillage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT PART OF LOT DESCRIPTION OF WORK NUMBER OF LOCATION LOT BL'K SUBDIVISION N? 639 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. 7- Dated , 19 (Seal) + NO. Motors Receptacles r enerator Gf�`i.. STREET PART OF LOT LOT BL'K Other Apparatus SUBDIVISION / e (../ i // ' ...,-) i:6/ /;/}/ ''' 7 1 , 7 . Outlets Motors Receptacles r enerator Gf�`i.. Stoves' �� Water Heaters Y l id Signs ` } �j�r'�, Billboards � `J `: Other Apparatus Permit Fee !��> mac, ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. / i Sy s „ 1. � w • y Owner of Building i , y O. i -'' ,,, Contractor or Electrician 6 � �. ' ' ', Aores9 llage F L o R ID A OFFICE OF ELECTRJCAL DEPARTMENT Miami Shores Village, Fla NUMBER OF ,I9 l� <6AR� LO CATI N DESCRIPTION OF WORK N? _ 639 • This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon py chgnge,in the plans specifications unauthorized by this Department. T ` te a . . � S' , Electrical Inspe or. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Ele tr'cal Department of Miami Shores Village - Dated -i� ty (Seal) STATE OF FLORIDA, l COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.... V Z-C ! cF 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 Street Registered Architect and /or Engineer Employing Electrician's Name i' 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) A 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). .n) Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 P , CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK STATE OF FLORIDA, l COUNTY OF DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.... V Z-C ! cF 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 Street Registered Architect and /or Engineer Employing Electrician's Name i' 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 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) A 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). .n) 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. FLOOR NUMBER OF SIZES OF INSULA'.`ION OPEN OR CONCEALED Number of Circuits Outlets Motor Gen. Main Sub Branch semen •st ;ond ird /' ,o urth /^ ter Floors. norm 246 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES,ML'ST BE FILLED OR APPLICA- TION WILL BE RETURNED Lot Number Block Number r ; / r ' - ') ; • ' • l Street and Number - ! i Side Owner Occupant Occupied as Building —New or Old (underline which). C/ // Work — Additional or New (underline which). SPECIFICATIONS H. P. of each motor Number of Motors H P Volts Amps Greatest Number of Lights on One Branch (Nature of Work) Open—Concealed Knob—M1 dg.—Conduit dg.— Conduit Ba Fi Se Th Fo Ot Outlets REMARKS • Work will be started Received by Inspector Approved Letter DATE / . 192 Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in thi3 premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules point ;ed out by Inspector. Motors Receptacles Generators Stoves Water Beaten Signs Billboards Other Apparatus CERTIFICATES (Applicant sign here) Progress , � Will inspect agaii Rough Wiring FINAL No Corrected Temporary Days Date Issued Card maile APPLICATION No,/ 3 7 2 SPACE BELOW FOR INSPECTORS USE 0 LY Correct Location Correct Equip DEFECTIVE Time Allowed 3emarks` Days 3. Oct. 17th 1:28 Inspecte Phase. • Will be finished Address Street A L. ' Electric Li ht Co. , - ,' ' � i Fee remitted r'L : _Inspector \,� FLOOR NUMBER OF SIZES OF INSU LATION OPEN OR CONCEALED Number of Circuits Outlets Motor Gen. Main Sub Branch asement— irst Al_,-9 `- 4t.,.4•- j icond_ hird_ our s �j ther Floors. R te r___ AVOID DELAY BY Lot Number Street and Nu; Owner ccu Opied 'is Building —New or Old (underline which). H. P. of each motor H P - Volts _Amps Phase Number of Motors Greatest Number of Lights on One Branch (Nature of Work) Open — Concealed Knob— Mldg.— Conduit F S T 0 I Outlets REMARKS • Work will be started (Applicant sign here) Received by Inspector CERTIFICATES Progress Will inspect again Rough Wiring FINAL Corrected Temporary Approved Letter Date Issue LO CATION GIVING FULL AND ACCURATE INFORMATION. A TION WILL BE, RETURNED 3 �� / Block N b 1 Motors APPLICATION No / 9 (3 U d 4 DATE r ��� . 1 ✓ Electrical Department of tii.e City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. (// I Receptacles Generators Stoves Water Heaterrl Signs . t9 0-- o 4 d a e e e4' Days SPACE BELOW a Correct cation Correct Pquip DEFECTI E Time Allowe ))k na /- 7/ Occupant CES MUST B FILLED OR APPLICA- Work— Additional or Now (underline which). SPECIFICATIONS 11 be finished d — Address Stree FOR INSPECTO USE ONLY n ected � 4- — 3 C) Electri Light Co Fee • remitted r marks I Billhoa!de Other Apparatus / Inspector FLOOR Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic (Applicant sign here) NUMBER OF LIGHTS Received by Inspector CERTIFICATES APPLICATION No Date ^ ` 1 � � � 192 FOR FIXTURE WORK ONLY ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspec,ion of the electrical installa- tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED. Lot Number �" ' '� - ' / Block Number = Street and Number Z� - ) . ‘e � 1 S dP Owner i Li _ Occupant - Occupied as Building —New or Old (underline which). Work — Additional or New (underline which). Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Days Approved Letter Date Issued CEILING OUTLETS REMARKS• Work will be started will be finished / DEFECTIVE Time Allowed: Days SPECIFICATIONS { BRACKET OUTLETS Electric Light Co !� Fee remitted 9/X NUMBER OF CIRCUITS Address / 7 • Street , PACE BELOW FOR INSPECTOR'S USE i NY Inspecte� % " (� ;j Correct Location % /r Correct Equipment ARM IMAM 1, Remarks • Inspector FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEALED Number of Circuits Outlets Motor Gen. Main Sub Branch senient— -St ./ _ � 4. :ond— ird _ urth ler Floors. norm 246 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL BE RETURNED Lot Number s Block Number- �_` ✓�'�� //f Street and Number— A 3 Owner Y' .t k rs�i ' Occupied as Building —New_ or Old (underline which). SPECIFICATIONS H. P. of each motor Number of Motors H P Volts —Amps Phase I Outlets Motors I Receptacles Generators ( Stoves Wa ter Heatertl Signs I Billboards Other Apparatus Greatest Number of Lights on One Branch (Nature of Work) Open — Concealed Knob— Mldg.— Conduit Ba Fi Se Th Fo Ot REMARKS - Work will be started Will be finished Address (Applicant sign here) Street Received by Inspector Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Approved Letter Date Issued CERTIFICATES DATE � - , 192 Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. Days SPACE BELOW FOR INSPECTORS USE ONLY Inspected // Correct Location r d G Correct Equip. Lv \r DEFECTIVE Time Allowed Days APPLICATION No. Occtipant Work — Additional or New (underline which). Electric Light Co Fee remitted 3emarks Inspector STATE OF FLORIDA, } COUNTY OF DADE. to fj� Ctik � r w SS. MIAMI SHORES VILLAGIE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 5-� (A/ °1ft 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 /1 s Name and Address \ r f S No -3 n Street Registered Architect and /or Engineer. Employing Electrician's Name L A U 1 C" N E ELECTRIC_ C v. No 3 Coc(0 @1• W. `� b Street 1 s�' t 1 � 'L • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 "1 1 Stree` ^' ' E. `� S T State work to be performed and purpose of building (By Floors) -. Y - RCA SC New Building Remodeling Addition Repairs No. of Stories Service n.erground Size Feeders k Conduit 1 Main Sw o 0 Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.l Metal Moulding Amount of Permit $ (Signed) leetrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 'g. ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ! rmanent 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) //1/ 5ER,e/rcc CPT PAC I ry AO in-44-a' d. Master E rician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T•S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HE AT. CONN. SPACE HEATER STRIP HEATER C 0 \JE� T OTAL CONTR. LIST 1 . ,oZ7 I. o� `'> — CHECK I ENT. SW. D1ST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 3 •.5 O ,5" u CHECK I STATE OF FLORIDA, } COUNTY OF DADE. to fj� Ctik � r w SS. MIAMI SHORES VILLAGIE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date 5-� (A/ °1ft 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 /1 s Name and Address \ r f S No -3 n Street Registered Architect and /or Engineer. Employing Electrician's Name L A U 1 C" N E ELECTRIC_ C v. No 3 Coc(0 @1• W. `� b Street 1 s�' t 1 � 'L • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 "1 1 Stree` ^' ' E. `� S T State work to be performed and purpose of building (By Floors) -. Y - RCA SC New Building Remodeling Addition Repairs No. of Stories Service n.erground Size Feeders k Conduit 1 Main Sw o 0 Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.l Metal Moulding Amount of Permit $ (Signed) leetrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob 'g. ions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ! rmanent 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) //1/ 5ER,e/rcc CPT PAC I ry AO in-44-a' d. Master E rician. 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing 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 he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. t Date..OciAP.e..J_.._ 3 1 _ , 1��9.��� a� Owner's Name and Address ... . O N...... g.Q..1: . .r . '.1•s. No..3.63 ..... _... Registered Architect and /or Engineer Name and address of licensed conttActor..M.lft.tri.l.... . .6.0Lea..V.1.eCTr..IiC ......._. 1 .a 1 �1�L Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done .. - -• -•• • _ 11 —+ State work to be done and purpose of building (by floors) �_� �.......'... �.... �d.V1� _ �. +�. r..� . ..... �.ir. C� r._._ and for no other purpose. New Building Remodeling Repairs No. of Stories To be constructed of Kind of foundation . Roof Covering Estimated Total cost of improvements $.... 3 61J Amount of Permit S. Zone cubage required . _Plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 Sup element, and has complied with the provisions thereof, and will require similar compliance from all . :, tractors o . ' •- act employe by bins in the work to be performed under this permit; and will post or cause to be posted for ins tion on a si te " t •r such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such su • a • actors, a wv rme• under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Building Inspector STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Disapproved ..� �..q Date.. Notary Public, State of Florida (Signed) 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 rz}ie.� %� � � •L_ Permit No 1__ _. D ate Read, Sworn to and Subscribed before me. My Commission Expires PL •'- INC BOARD DATE Chairman Member Member Member Member .....-- ---- _- •-- -_--._..- _- •--- . --.._ Member Council Approved Date Disapproved ....................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Phmnirg hoard. A re fee of 5l.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRIC %,L PE:RMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building en 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 17r • Don Harris No 363 Street N. E . 9 8th . t >e e e t Registered Architect and /or Engineer Employing Electrician's Name Miami Shores E l e c t r i c Inc m 10611 N Street 7 t h .A V e 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 Service Overhead Size Feeders Conduit Main Sw Am s Main Fuses Am s Underground p P Type of Installation -- Conduit Tubing B.X.L . Metal Moulding Amount of Permit $ l. •15 ( Signed) 2— Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his sgations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled - .eral Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all • .ctors or sub contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe i• • the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contra ors, • work to be performed and this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss' (Signed) Date November 13,1972 Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL 2- XS 4— SO CONTR. LIST ' I- 5 KW 1-10KW CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO AirCoutl I. 1 Tao TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRIC %,L PE:RMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building en 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 17r • Don Harris No 363 Street N. E . 9 8th . t >e e e t Registered Architect and /or Engineer Employing Electrician's Name Miami Shores E l e c t r i c Inc m 10611 N Street 7 t h .A V e 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 Service Overhead Size Feeders Conduit Main Sw Am s Main Fuses Am s Underground p P Type of Installation -- Conduit Tubing B.X.L . Metal Moulding Amount of Permit $ l. •15 ( Signed) 2— Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his sgations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled - .eral Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all • .ctors or sub contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe i• • the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub -contra ors, • work to be performed and this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. ss' (Signed) Date November 13,1972 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.