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ELECTRICALDate/ / Job Legal Description Owner / Lessee / Tenan Owner's Address Contracting Co Address 7.=. a/ 3 Qualifier 4J ��W �; GCS! SS# /. - ✓� Phone ��.7 P� State 4 #, t&Dd ?%31unicipa1 # / Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING CTR):C�tL UMBING MECHANICAL ROOFING PAVING PENCE SIGN / / d f WORK DESCRIPTION Square Ft. Estimated Cost(value) f // WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accuse and that all work will be done in compliance with all applicable laws regulating construction d Furt re, I auth riz a ve -n • contr. tor to do the work stated. '/ of Date: Notary as to Owns, My Commission Expi"r APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Address �7`� 4 -5 , /X 171/62g11 1 /T Master Permit a 3q`f 33�1f Phone 75, owner = -d /or Condo sident OFFI IAL SEAL JULIO ROBLES 4/My Commission Expires Condd 9 6 Comm. 0. * * * FEES: PERMIT , Vate RADON Zoning Mechanical 53 Building Plumbing Tax Folid/ / 7 /6 6' Signature of C Date: • My Commission Expires: Mom Alder JULIO R LES Commission Expires 4, 1996 No. CC_ 3 otr ctor or Owner- ui� er * * * * * * j, C.C.F. / O NOTARY TOTAL DUE J ki? Pire Other * * ** Electrical p Engineering BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 3944 Owner of Building Architect Contractor or Builder ` t Legal Lot Description I Bl Address of Building f DATE 195 Contractor's ♦ f . License No. Work to be performed under this Permit Subdi- vision Value of Amount of 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 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 cr 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e Registered Architect and /or _Engineer.. 1 Employing fn's Name..t.O Amount of Permit $ 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT q APPLICATION FOR ELECTRICAL PERMIT Permit No 167&3 l Z 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...5e. ....No Street No 1.� /� -� Street....? Location and Legal Description Lot / Block Subdivision Street and Number where work is to be performed— No.. .. % ° /' .� / s�� r et/ ✓.!/�1 �c� State work to be performed and purpose of building (By Floors)<>" - ; ;r7 ( �i -4 New Building Remodeling A.ddition 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 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep/s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of /* orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or .ub•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. STATE OF FLORIDA, 1 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 rc 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 IF ON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. RACE H EATER STRIP HEATER TOTAL CONTR. 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 S Registered Architect and /or _Engineer.. 1 Employing fn's Name..t.O Amount of Permit $ 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT q APPLICATION FOR ELECTRICAL PERMIT Permit No 167&3 l Z 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...5e. ....No Street No 1.� /� -� Street....? Location and Legal Description Lot / Block Subdivision Street and Number where work is to be performed— No.. .. % ° /' .� / s�� r et/ ✓.!/�1 �c� State work to be performed and purpose of building (By Floors)<>" - ; ;r7 ( �i -4 New Building Remodeling A.ddition 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 (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep/s obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of /* orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or .ub•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. STATE OF FLORIDA, 1 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 rc 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' i J i c9 STATE OF FLORIDA, COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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 building during progress of work. - Owner's Name and Address e s...� :...c :.'t-..a.e- A No � 4-G Street '' - L - 2 Registered Architect and /or Engineer Employing Electrician's Name... -f .s.. r= 7 '.: No Street Location and Legal Description Lot Block Street and Number where work is to be performed —No 6- 7 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 bQ Amount of Permit $ ,l (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. SS. Before me, the undersigned authority, a notary p lblic, 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. (Signed) ' 9/ Date —6 be kept at Subdivision. - Street ,l d r lectrica ' Repector. ccepts his .. ig.tsons as an employer of of Flori• P manent Supplement, and sub -cone ors employed by him in the of the work such public notice or notices be performed under this permit, as are • Master Electrician. SWITCH OUTLETS LIGHT OUT!_E`.'S 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 1.--- CO CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST Z / / J � b J/7 / C //JJ , / /LYs.` �J%c1 to ... CHECK ‘I' i J i c9 STATE OF FLORIDA, COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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 building during progress of work. - Owner's Name and Address e s...� :...c :.'t-..a.e- A No � 4-G Street '' - L - 2 Registered Architect and /or Engineer Employing Electrician's Name... -f .s.. r= 7 '.: No Street Location and Legal Description Lot Block Street and Number where work is to be performed —No 6- 7 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 bQ Amount of Permit $ ,l (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. SS. Before me, the undersigned authority, a notary p lblic, 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. (Signed) ' 9/ Date —6 be kept at Subdivision. - Street ,l d r lectrica ' Repector. ccepts his .. ig.tsons as an employer of of Flori• P manent Supplement, and sub -cone ors employed by him in the of the work such public notice or notices be performed under this permit, as are • Master Electrician. ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT f Permit No ? ?�' � ® Q / Date... sr �� ` 1 j 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 ftr t GQ 1 s Registered Architect and /or Engineer n _ Employing Electrician's Name D. C..... L- E CO No....../ i Street., 4t.../ .. 7` Location and Legal Description Lot Block Subdivision C j Street and Number where work is to be performed —No P u . NE l g4 Street State work to be performed and purpose of building (By Flocrs) 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 1— 1 ,..... LP P4— .c.z<.ts- c 1 .... LJN.1.. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 55. MIAMI SHORES VILLAGE (Signed) ectrical 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. (Signed). �[ 9 , No 6 ' T o Street..N/ ` e 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. gr ACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT f Permit No ? ?�' � ® Q / Date... sr �� ` 1 j 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 ftr t GQ 1 s Registered Architect and /or Engineer n _ Employing Electrician's Name D. C..... L- E CO No....../ i Street., 4t.../ .. 7` Location and Legal Description Lot Block Subdivision C j Street and Number where work is to be performed —No P u . NE l g4 Street State work to be performed and purpose of building (By Flocrs) 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 1— 1 ,..... LP P4— .c.z<.ts- c 1 .... LJN.1.. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 55. MIAMI SHORES VILLAGE (Signed) ectrical 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. (Signed). �[ 9 , No 6 ' T o Street..N/ ` e 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. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N° 8869 Work to be performed under this Permit Owner of Building Contractor's License No. Architect Contractor or Builder Legal Lot Bl. Subdi Description vision Address of Value of Amt. of Building 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 tune if the work is not done in compliance with such ordinances or if the plans are. rhanaprt without u t hc'_z .•tio,n. A f r t i - vilaiiiuu 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 respon- sibility 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. CONTRACTOR OR BUILDER BY AUTHORITY Permit No /3 r 75 Date — 2 — 7 7 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 hi:rein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.& 0 2 Registered Architect and /or Engineer Employing Electrician's Name _X _IJ..A.4.4... 4 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 Service Overhead Size Feeders Conduit Main Sw. Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding ` 1 1 n omit of Permit $ _ (Signed) EI ctrica1 Inspectb • The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga / s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe nent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractor 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. STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE ELECTRICAL_ INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT C 90 Repairs No. of Stories (Signed) No 6 No:„"52 � �� Street.... p. Street Street 7 Subdivision r� 5. " 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 re td 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 wh■.n 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 CUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEA fER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CL o CHECK Permit No /3 r 75 Date — 2 — 7 7 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 hi:rein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.& 0 2 Registered Architect and /or Engineer Employing Electrician's Name _X _IJ..A.4.4... 4 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 Service Overhead Size Feeders Conduit Main Sw. Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding ` 1 1 n omit of Permit $ _ (Signed) EI ctrica1 Inspectb • The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga / s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe nent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractor 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. STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE ELECTRICAL_ INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT C 90 Repairs No. of Stories (Signed) No 6 No:„"52 � �� Street.... p. Street Street 7 Subdivision r� 5. " 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 re td 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 wh■.n such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL PLUMBING ❑ PERMIT N? 10068 ROOFING ❑ Owner of Building �a iX v t'4 �..; Architect Contractor , _, or Builder /`' v3`l x 3) 6 c ''' C- re, 4. (�-‘, Legal Lot 1 1 Description 11 BI �, ( Address of fs l ')/ l' ii, r. Building '_ ' , 'L_D) e ° ;- , r Date Contractor's License No Work to be performed under this Permit Subdi- vision Sq. Ft.� Value of I I Amount of Project $ 11 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 applica- tion 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 onAte plans or drawiggs or in the 'statements or specifications and that he a a9..,rnen sibility for work done by his agents, servants or e g Signed• — { ` j114SPECTOR) BY In consideration of the issuance to me of this permit I agree erform 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 don " either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY 19 (t Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village Sha11J complied with, whether herein specified or not. A copy o approved plans and specifications must be kept at building during progress of w Owner's Name and Addr ss, Street and Number where work is to be performed—No ._ _________ STATE OF FLORIDA, COUNTY OF DADE. } APPLICATION FOR ELECTRICAL PERMIT ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • Street___ Registered Architect and /or Engineer djf.AD � Employing Electrician's Name__ 06(//// _No Location and Legal Description Lot Date.__ 2_ - Subdivision Street__ State work to be performed and purpose of building (By Floors)____ _______ 1/__!/�_ _ _L__ __ / — __ _ �� New Building Remodeling Addition Repairs No. of Stories _ _ V Service Overhead Underground Siz Feeders / Condui __ __. ___Main Sw.___--__________ __Amps.___ ______ ____ — ______Main Type of Installation— Conduit__________________Tubing V B.X.L._____ Metal Moulding Amount of Permit $ � (Signed)- The undersigned applicant for this building permit does hereby certify that - labor under the Florida Workmen's Compensation Act, being Section 5966, Co has complied with the provisions thereof, and will require similar compliance from all contractors p sub- contractors employed by him in the work to be performed under this permit; and will post or cawe to be posted for inspection on �t ' + ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on T�3k t�.� . formed under this permit, as are licensed by Miami Shores Village. lectrical Inspector. understands and accepts his oblations as an employer of iled General Laws of Florida Permanent Supplement, and (Signed) ° 1 -------------------------------------------------- - - - - -- ------------------------------------ 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 wheel 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' FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTI.ET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL. CONTR. LIST 1/1 V / ; / J / / / CHECK , ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ( CHECK (t Permit Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village Sha11J complied with, whether herein specified or not. A copy o approved plans and specifications must be kept at building during progress of w Owner's Name and Addr ss, Street and Number where work is to be performed—No ._ _________ STATE OF FLORIDA, COUNTY OF DADE. } APPLICATION FOR ELECTRICAL PERMIT ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • Street___ Registered Architect and /or Engineer djf.AD � Employing Electrician's Name__ 06(//// _No Location and Legal Description Lot Date.__ 2_ - Subdivision Street__ State work to be performed and purpose of building (By Floors)____ _______ 1/__!/�_ _ _L__ __ / — __ _ �� New Building Remodeling Addition Repairs No. of Stories _ _ V Service Overhead Underground Siz Feeders / Condui __ __. ___Main Sw.___--__________ __Amps.___ ______ ____ — ______Main Type of Installation— Conduit__________________Tubing V B.X.L._____ Metal Moulding Amount of Permit $ � (Signed)- The undersigned applicant for this building permit does hereby certify that - labor under the Florida Workmen's Compensation Act, being Section 5966, Co has complied with the provisions thereof, and will require similar compliance from all contractors p sub- contractors employed by him in the work to be performed under this permit; and will post or cawe to be posted for inspection on �t ' + ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on T�3k t�.� . formed under this permit, as are licensed by Miami Shores Village. lectrical Inspector. understands and accepts his oblations as an employer of iled General Laws of Florida Permanent Supplement, and (Signed) ° 1 -------------------------------------------------- - - - - -- ------------------------------------ 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 wheel such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 6 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statl.ment of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliano: and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinanc .ts 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. / � LL�� �° Owner' s Name and Address. L. e I ' No G. ` Street. '.. /-..if Sr Registered Architect and /or Engineer /' Employing Electrician's Nam 0. rze -szy 4.1.4./..- /64/41- 4No `/ / Street.L54/ Location and Legal Description Lot Street and Number where work is to be performed —No L... k3' .- .-/.-T 9 ? ,5r- Street State work to be performed and purpose of building (By Floors) New Building Remodeling iLddition Repairs No. of Stories Date Qa . Block Subdivision - T®4' Service Overhead Site Feeders Conduit Main Sw Amps Underground Type of Installation — Conduit Tubing... ..._ ........_.B.X.L Metal Moulding... Amount of Permit $ .... .......... (Signed) The undersigned applicant for this building permit does :iereby ce•tify that he understands and accepts his oblig " labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P • has complied with the provisions thereof, and will require s:milar compliance from all contractors or sub-contract• work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work :.c as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed u licensed by Miami Shores Village STATE OF FLORIDA, 1 appeared (Signed). -a` 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 therein by him stated are true. Main Fuses . Amps rical I = • ctor. as an employer of nt Supplement, and ployed by him in the public notice or notices nder this permit, as are aster Electrician. ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally same, and that all facts 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•TS FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LI BT CHECK DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL ENT. SW. CONTR. LIST CHECK .P"/ -.) 6 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statl.ment of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliano: and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinanc .ts 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. / � LL�� �° Owner' s Name and Address. L. e I ' No G. ` Street. '.. /-..if Sr Registered Architect and /or Engineer /' Employing Electrician's Nam 0. rze -szy 4.1.4./..- /64/41- 4No `/ / Street.L54/ Location and Legal Description Lot Street and Number where work is to be performed —No L... k3' .- .-/.-T 9 ? ,5r- Street State work to be performed and purpose of building (By Floors) New Building Remodeling iLddition Repairs No. of Stories Date Qa . Block Subdivision - T®4' Service Overhead Site Feeders Conduit Main Sw Amps Underground Type of Installation — Conduit Tubing... ..._ ........_.B.X.L Metal Moulding... Amount of Permit $ .... .......... (Signed) The undersigned applicant for this building permit does :iereby ce•tify that he understands and accepts his oblig " labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P • has complied with the provisions thereof, and will require s:milar compliance from all contractors or sub-contract• work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work :.c as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed u licensed by Miami Shores Village STATE OF FLORIDA, 1 appeared (Signed). -a` 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 therein by him stated are true. Main Fuses . Amps rical I = • ctor. as an employer of nt Supplement, and ployed by him in the public notice or notices nder this permit, as are aster Electrician. ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally same, and that all facts 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. ... / gyp ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Date...: <,7 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 Registered Architect and /or Engineer Employing Electrician's Nam 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 $ cr MIAMI SHORES VILLAGE Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori • <Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•con ractors 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) No 644 No g // fit/• /v cr Street.', Street.. ‹. Master Electrician. STATE OF FLORIDA, 1 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. My Commission Expires Notary Public, State of Florida NOTE: A rc 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 REPRIO. OUTLET IKON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. 6(ACE H TER STRIP HEATER TOTAL CONTR. LIST / / / 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. ... / gyp ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Date...: <,7 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 Registered Architect and /or Engineer Employing Electrician's Nam 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 $ cr MIAMI SHORES VILLAGE Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori • <Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•con ractors 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) No 644 No g // fit/• /v cr Street.', Street.. ‹. Master Electrician. STATE OF FLORIDA, 1 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. My Commission Expires Notary Public, State of Florida NOTE: A rc 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, FLORIDA BUILDING ❑ ELECTRICAL DATE PLUMBING ❑ PERMIT N9 9069 Cntra s No License 4 7 ROOFING ❑ ❑ Work to be nArfc mcd under this Permit ' ` R o Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot fi CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ 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 sptcifications and that he assumes responsibility for work done by his agents, servants or employees. ,-, i, .--- .%7-to Signed • /- ( "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. Amt. of ry Permit $ BY AUTHORITY I7 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ❑.: PERMIT N° 14852 ❑ Work to be ner! iueci under this Permit m. Subdi- vision Value of Project $ DATE 195 Contra_•,;,,', 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 Permit No. -- ='— Dat — - -- t —— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or o1er structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flo 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 ' ' pc4 _ Registered Architect and /or Engineer 60 _ ° Employing Electrician's Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be perf ed and purpose of building (By Floors) / /V & IS M a- New Building_______ ___ ___________________Remodeling__ ___— _______________Addition Repairs No. of Stories______________ Service Overhead Size Feeders Conduit__ Sw. Underground Type of Installation—Conduit ______ _________Tubing STATE OF FLORIDA, COUNTY OF DADE. ss. APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL I NSPECTION DEPARTMENT Block B.:K.L.—__—_______Metal Mo (Signed) Street_ __Street__`_v Street__ Subdivision Amps Main Fuses_ Amount of Permit $_ Elec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo work to be performed under this permit; and will post or cause to be p osted for inspection o '` e si'e of the worksueh3i as are required by the Act. The undersigned agrees to employ only such sub - contractors, o ' wor,r to be per licensed by Miami Shores Village. Master Electrician. _Amps al Inspector. s an employer of Supplement, and d_ by him in the ice or notices permit, as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appearecL to me well known, and who, being by me first duly sworn, urorl 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 IR DN OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE M. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK / O 0 Permit No. -- ='— Dat — - -- t —— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or o1er structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flo 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 ' ' pc4 _ Registered Architect and /or Engineer 60 _ ° Employing Electrician's Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No. State work to be perf ed and purpose of building (By Floors) / /V & IS M a- New Building_______ ___ ___________________Remodeling__ ___— _______________Addition Repairs No. of Stories______________ Service Overhead Size Feeders Conduit__ Sw. Underground Type of Installation—Conduit ______ _________Tubing STATE OF FLORIDA, COUNTY OF DADE. ss. APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL I NSPECTION DEPARTMENT Block B.:K.L.—__—_______Metal Mo (Signed) Street_ __Street__`_v Street__ Subdivision Amps Main Fuses_ Amount of Permit $_ Elec The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo work to be performed under this permit; and will post or cause to be p osted for inspection o '` e si'e of the worksueh3i as are required by the Act. The undersigned agrees to employ only such sub - contractors, o ' wor,r to be per licensed by Miami Shores Village. Master Electrician. _Amps al Inspector. s an employer of Supplement, and d_ by him in the ice or notices permit, as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appearecL to me well known, and who, being by me first duly sworn, urorl 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.... j Amount of Permit $ 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 compl,ance 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. Owners Name and Address /v '/ No �I Registered Architect and /or Engineer �%� �j� � • ��� Employing Electrician's Name 11(,s • s'f� ' / No CP,r :..0 Street or U.,/' 00 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot Block k Street and Number where work is to be performed —No (Signed) STATE OF FLORIDA, 1% COUNTY OF DADE. I ss' l7 Before me, the undersigned authority, a notary public, duly authorized appeared D to administer Date Street Subdivision Street_.A/ 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 (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. wp ./f' <7Y/ oaths Master Electrician. and take acknowledgments, personally to me well known, and who, being by me first duly. sworn, u2on 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MO B • -- MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.... j Amount of Permit $ 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 compl,ance 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. Owners Name and Address /v '/ No �I Registered Architect and /or Engineer �%� �j� � • ��� Employing Electrician's Name 11(,s • s'f� ' / No CP,r :..0 Street or U.,/' 00 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot Block k Street and Number where work is to be performed —No (Signed) STATE OF FLORIDA, 1% COUNTY OF DADE. I ss' l7 Before me, the undersigned authority, a notary public, duly authorized appeared D to administer Date Street Subdivision Street_.A/ 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 (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. wp ./f' <7Y/ oaths Master Electrician. and take acknowledgments, personally to me well known, and who, being by me first duly. sworn, u2on 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. 1 Permit No Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I j APPLICATION FO 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, Fiurida, 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 yith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of rk. Owner's Name and Address Registered Architect and /or En i er Employing Electrician's Name. � " 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 Floo.•s) 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 88. MIAMI SHO ES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ELECTRICAL PERMIT 0 No. Ve NE E Street I No / ..5—t-d Street Block (Signed) Date Street Subdivision S f s G7 / 91 / 1" L/ /7/741 (Signed) j / l / Electrical Inspe 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 Pep anent 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 sub - contractors, on work to be performed under permit, as are licensed by Miami Shores Village. 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 re;id 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 CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. �� � ' Pk; /F uJeahtie q MOTORS D O.1 HP VVV / M OTORS 1.5 HP N EON TRANS. ,,r O �L /!/ RADIO Co o , / (. 7 , TOTAL / CONTR. LItST sr ' / /M CHECK z( 1. Z 1. _. 1. 7( 1 Permit No Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I j APPLICATION FO 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, Fiurida, 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 yith, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of rk. Owner's Name and Address Registered Architect and /or En i er Employing Electrician's Name. � " 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 Floo.•s) 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 88. MIAMI SHO ES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ELECTRICAL PERMIT 0 No. Ve NE E Street I No / ..5—t-d Street Block (Signed) Date Street Subdivision S f s G7 / 91 / 1" L/ /7/741 (Signed) j / l / Electrical Inspe 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 Pep anent 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 sub - contractors, on work to be performed under permit, as are licensed by Miami Shores Village. 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 re;id 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. UILDING LECTRICAL LUMBING )weer of uilding rchitect : ontractor r r Builder .egal Lot + Bl. Subdi- Iescription f vision ° tr ddress of a , Value of Amt. of uilding r, ► *" 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- {tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and :gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. , 4 . 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 1 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8587 DATE - 194_ Contractor's License No. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 0 ❑ PERIM a N9 3775 - - 0 MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit B1 DATE Contractor's License No. 195 Subdi- vision Value of Amount of Project $ ' 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 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 0-s?' Vtllac, f Miami Shores JOB INSPECTOR N9 4525 ADDRESS ' q - INSPECTION ?o r ?-+ e, .J L T' ' . TIME READY REMARKS DATE 7- 6',Z° z illage of Miami Shores JOB ■a OL ADDRESS q n INSPECTION 1, *0 - TIME READY REMARKS INSPECTOR C 4I 1 N° 4910 DATE Permit No Amount of Permit $ J'6 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling 'lddition 1 ` 103 Date 7 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. No LP T 0 7z r, Street Owner's Name and Address Registered Architect and /or Engiineer Employing Electrician's Name r- 7 �'� -ems "�� `� N 'Lo 5` / +'4 / ' E Street Street 11 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) 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 ,....--- (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 s:;milar 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. (Signe Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary publ °c, duly authorized to administer oaths and take acknowledgments, personalty appeared to me well known, and who, being by me first duly sworn, u;?on 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 whim such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT ETS OUTLETS 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 7 v/ / a 1 — 7 / �'' 4• / O (O 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 Amount of Permit $ J'6 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling 'lddition 1 ` 103 Date 7 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. No LP T 0 7z r, Street Owner's Name and Address Registered Architect and /or Engiineer Employing Electrician's Name r- 7 �'� -ems "�� `� N 'Lo 5` / +'4 / ' E Street Street 11 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) 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 ,....--- (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 s:;milar 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. (Signe Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary publ °c, duly authorized to administer oaths and take acknowledgments, personalty appeared to me well known, and who, being by me first duly sworn, u;?on 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 whim such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 31 -7s Owner's Name and Address Employing Electrician's Name... 5' Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Location and Legal Description Lot Block Subdivision 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 ' Repairs No. of Stories Date 6 - f �� No 41 7 ' Street 91 1V06 Street '-^-�— Street Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (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. (Signed) Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. J 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, 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 OUTLETS PLUG RECE'P'7's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. S H TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1.5 HP TRANS. RADIO TOTAL CONTR. LIST A ft O J ` I -32 D �1 J. 1 L T ' CHECK Permit No 31 -7s Owner's Name and Address Employing Electrician's Name... 5' Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Location and Legal Description Lot Block Subdivision 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 ' Repairs No. of Stories Date 6 - f �� No 41 7 ' Street 91 1V06 Street '-^-�— Street Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (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. (Signed) Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. J 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, 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.