ELECTRICALPermit No /9 q ./
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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.
Owner's Name and Address ''Q P O4 � ` "140tfrra,:. d' No °� Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot * Block
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
Underground
Type of Installation -- Conduit Tubing
MIAMI SHORES VILLAGE
Amount of Permit
ELECTRICAL INSPECTION DEPARTMENT
Main Sw Amps Main Fuses Amps
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, j
COUNTY OF DADE. I es.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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
therein by him stated are true.
Date 1 ! 4 7 8
Subdivision
.5.4"C/40.01,0
B.X.L .Metal Moulding
ctrial I
ccepts his obli eons as an em l er of
of Florida rmanent Supplement, and
sub contra ors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
and take acknowledgments, personally
did sign the same, and that all facts
i0;-7c7
My Commission Expires
NOTE: A re•inspection fee of $1.00 will be made when such re'inspection is made necessary by improper notice for inspection, or faulty
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
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
015T.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No /9 q ./
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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.
Owner's Name and Address ''Q P O4 � ` "140tfrra,:. d' No °� Street
Registered Architect and /or Engineer
Employing Electrician's Name No Street
Location and Legal Description Lot * Block
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
Underground
Type of Installation -- Conduit Tubing
MIAMI SHORES VILLAGE
Amount of Permit
ELECTRICAL INSPECTION DEPARTMENT
Main Sw Amps Main Fuses Amps
(Signed)
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed)
STATE OF FLORIDA, j
COUNTY OF DADE. I es.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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
therein by him stated are true.
Date 1 ! 4 7 8
Subdivision
.5.4"C/40.01,0
B.X.L .Metal Moulding
ctrial I
ccepts his obli eons as an em l er of
of Florida rmanent Supplement, and
sub contra ors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
and take acknowledgments, personally
did sign the same, and that all facts
i0;-7c7
My Commission Expires
NOTE: A re•inspection fee of $1.00 will be made when such re'inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address a (
Registered Architect and /or Engineer
Employing Electrician's Name ° " ^f � � No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
55.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
hl • o y,= 2,
3 4-
No
Date 3 - O
Street 4/. F, 9 9 05 T
Street ftj•F, 9 9 Si2.c�
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 2- ° '' Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed) ee fi'
(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 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.
Master Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
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
PLUO
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
H ACE
ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address a (
Registered Architect and /or Engineer
Employing Electrician's Name ° " ^f � � No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
Amount of Permit $
APPLICATION FOR ELECTRICAL PERMIT
55.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
hl • o y,= 2,
3 4-
No
Date 3 - O
Street 4/. F, 9 9 05 T
Street ftj•F, 9 9 Si2.c�
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 2- ° '' Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed) ee fi'
(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 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.
Master Electrician.
STATE OF FLORIDA, l
COUNTY OF DADE. I
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.
BUILDING ❑
U ELECTRICAL PERMIT N? 9990
ROOFING ❑
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
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. .... _ A
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,,h assume responsibility for all work done by either, myself, my agent, servant or employee.
`ti 4 ^' i -._, .
f . . • ;�F
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Work to be performed under this Permit
BY
195
DATF
Contractor's
License No ) "
AUTHORITY
t7
7
r
n
Lot
Bl
Subdi-
vision
,f
-
sq. Ft
Amt. of
Permit
$.,.*
-�
Value of
Project
$
BUILDING ❑
U ELECTRICAL PERMIT N? 9990
ROOFING ❑
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
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. .... _ A
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,,h assume responsibility for all work done by either, myself, my agent, servant or employee.
`ti 4 ^' i -._, .
f . . • ;�F
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Work to be performed under this Permit
BY
195
DATF
Contractor's
License No ) "
AUTHORITY
t7
Permit No l Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su•mitted 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
MIAMI SHORES VILLAGE
ELECTRICAL. INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Employing Electrician's Name ..........:..._.:
Location and Legal Description Lot Block
9. 7:
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors) 14sr� g e. -
New Building Remodeling Addition t. Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
S S.
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
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
No
(Signed) 4 ;
Street
treet
Subdivision
t �za No Street
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
Master Electrician.
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
CONTR.
LIST
®
3
— �
/, ..�
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
Permit No l Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su•mitted 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
MIAMI SHORES VILLAGE
ELECTRICAL. INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Employing Electrician's Name ..........:..._.:
Location and Legal Description Lot Block
9. 7:
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors) 14sr� g e. -
New Building Remodeling Addition t. Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
S S.
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
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
No
(Signed) 4 ;
Street
treet
Subdivision
t �za No Street
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
Master Electrician.
BUILDING ❑
ELECTRICAL
PLUMBING (
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 13304
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of
Project $
DATF.
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: ,�` ,.1. k ,: 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
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
1
Other Apparatus
Permit Fee
rr Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
Y` N
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician
aiami Aores
F L O A ID A
OFFICE OF ELECTRICAL DEPARTMENT
1
Miami Shores Village, Fla., 19
CATI 0 N
DESCRIPTION OF WORK
NUMBER OF
N° 564
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
he 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
;bores Village.
Dated , 19 (Seal)
•NO.
Motors
STREET
Generators
PART OF LOT
LOT
BL'K
Billboards
SUBDIVISION
1�/�
1 1,
y
� e
91
� (/} .
zr�'4
.. eiett.-.*
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
"41Ae ct
ekr-o
ELECTRICAL PERMIT
NB. —This Permit must be on display on the premises during
the constructio
Owner of Building
Contractor or Electrician j}�/ it'f ` '•+t nC E'�G
Shores Village. 7;; I 0 .41
Dated „.„„&' ' 4.1
aiami Jhores
F L O A ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
LO CATI 0 N
DESCRIPTION OF WORK
NUMBER OF
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 file plans and specifications unauthorized by
this Department.
±fit
W 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 relations of the Electrical Department of Miami
N° 564
•
, Electrical Inspector.
OUTLETS
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H'TERB
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
SUB
BRANCH
Basement
First
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
Second
Third
Fourth
Other
Floors
Location of proposed work: Lot
iami Alores 9 liage
F L O R I D
s1
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installation:
Owner / "I"'zit so Address
Building ontractor
Electrical Contractor 4 M
dt
Date
' 1 193
Block ® 8 Subdivisio
Building: Old or new Number of stories Used as
Description of proposed work
Details of proposed work:
Number of Motors H P Volts Amps Phase
Additional Information
Signature of Applicant 041
Address (if other than owner or contractor)
(SPACE BELOW FOR INSPECTOR'S USE ONLY)
Work begun
Work finished
rA2 ae
Inspected
Final inspection
�'`" , Inspector
Range
by ' `.
for 's,
Power: Connected load X
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at Nri 9
Address
owner, and occupied as
watts. Water Heater
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service {j Number of Lighting Circuits
PERMIT
No.___ `
watts
H. P. Space Heaters ( 06 watts
Other Apparatus
ELECTRICAL INSPECTOR.
FLOORS
I• IA I UHtb LINL.T
NUMBER OF
TOTAL
OUTLETS
SIZE -
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHED
BASEMENT
FIRST
SECOND
THIRD
FOURTH
A -83 •
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL. BE RETURNED.
Los NUMBER 4 _ BLOCK NUMBER 1 SUBDIVISION 2114, 4 Sim /GY'.-� gyt SIDE ,s,
O v cItSTREET AND NUMBER v
V /
..N. OWNER � � �/ ' ( �I -I OCCUPANT
OCCUPIED AS • / ��
BUILDING- -NEW OR OLD (UNDERLINE WHICH)
APPLICATION NO g‘(f
DATE / i v / 193
i7^;
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI <, .'� , , k ,
Desiring your certificate of Approval, application is hereby made for an inspection of the
electric installation in the premises stated below, for which undersigned agrees to correct
any infractions of the National Electrical Code and the City Ordinance pointed out by In-
spector.
H. P. OF EACH MOTOR VOLTS
MASTER ELECTRICIAN
BY
CEILING
BRACKETS
6
RECEIVED BY
PROGRESS
WILL INSPECT AGAIN
RECEPTACLES
ROUGH WIRING
FINAL
CORRECTED
TEMPORARY
DATE ISSUED
KIND OF INSTALLATION OPEN OR CONCEALED
SWITCHES
SPECIFICATIONS
STOVES
t7
INSPECTOR INSPECT D
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
.re
TOTAL AMPS
WATER HEATERS
KNOB. RX., BX., MLDG.. CONDUIT, WA
REMARKS
-� DDRESS
IN-. WANTED
SIGNS
SPACE BELOW FOR INSPECTOR'S USE ONLY
PHASE p
OTHER APPARATUp1
FEE REMITTED
INSPECTOR