874 NE 99 St (2)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or
Legal
Description
Address of
Building
w
MIAMI SHORES VILLAGE, FLORIDA
1/ PERMIT N? 1031
Subdi-
vision
Work to
CONTRACTOR OR BUILDER
e performed under this Permit
•
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 withorit buthorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the resp6nsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans dp vings or 9, t e statement. . r d. cifications and
that he assumes responsibility for work done by his agents, servants or employees. f ,. 'r
/ . / ,.' t- .
Signed. t P
✓ _. - ,
., 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 regula-
tions 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.
t
BY
DATE
/7e4
Contractor's "' /
License No /
r ,
„- r 7,06/
Amt. of
Permit
r
AURiTY A t
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
ellow
Legal Lot 10. 3
Description
i .)14. 4 1Vaviwe frsi#•' -01
Address of c
Building 0
ACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORID
PERMIT N° 1110
Work to be performed under this Permit
Bl.
7
vubd .
vision
Value of
Project
BY
DA
Contractor's
ense No.
3
t% 194
lC c
Amt. of
Permit
v
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descri ed 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 pJ,ans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.- ;• l /
E
Signed By
INSP OR
e In consideration of the issuance to me of this permit I agree to perform the work covered here lder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accep 'ng this permit I assume responsibility for all work yjpne by eitlyr myself, my agent, servant or employee.
r
AUTHORITY
}
MIAMI SHORES VILLAGE PERMIT
No: Z V
/
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTII?ES THAT the wiring and apparatus installed at
by �.' f ,, n , , z _ Address
fr
Power: Connected load
f
owner, and occupied as
H. P. Space Heaters
✓, %
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Other Apparatus
Range watts. Water Heater watts
Size of Service Number of Lighting Circuits
ELECTRICAL INSPECTOR.
watts
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder„. _, j {.. { t t ' t. 1..
Legal Lot — 3
Description
MIAMI SHORES VILLAGE, FLORIDA f
DATE
PERMIT N9 1238
Work to performed under this Permit
2 /1/ 4, • r- r .3
Address �r r'' Value of Amt. t !`
Building i9 ' ■ Lf w.� w lC Project Permit
This permit is granted to the contractor or buil er 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 9,r drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. / a I . � �,
Signed • l }} ° By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder i compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi ed 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.
BI.
•
Subdi-
vision
Contrayfor's f
License No. A
/
CONTRACTOR OR BUILDER BY AUTHORITY
/� 194
THIS CERTIFIES THAT the wiring and apparatus installed at r 7 )) • /.a t
by
for
has been nspected
Size of Service
Range
Power: Co r j cted load
Other Apparatus
owner, and occupied as
and current is authorized to be tumed on, until otherwise notified, for:
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
LS. .. ere
Address
Number of Li t" Circuits
watts. Water Heater
H P. Space Heaters
PERMIT
No. /1/ ()
watts
watts
•- •
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
f APPLICATION FOR ELECTRICAL PERMIT
Permit No. / • Date_
4:2 /, 9 e
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte or 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 - ul No Street
Registered Architect and /or Engine
Employing Electrician's Name _ T _ No Street______________
Location and Legal Description Lot Block Subdivision_ _
Street and Number where work is to be performed —No Street "
State work to be performed and purpose of building (By Floors)
New Building A Remodeling Addition Repairs
Amount of Permit $
COUNTY OF DADE. es.
My Commission Expires
1
(Signed) !!
STATE OF FLORIDA,
J z
Notary Public. State of Florida
No. of Stories.
Overhead
Size Feeders Conduit__ i Main Sw ___ Amps. ____�_ Main Fuses____1 V Amps.
Serv �kl
Type of Installation— Conduit Tubing_X B.X.L. Metal Moulding
(Signed) _ IA A . - ___?
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
.. -114
ster Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECEE P'T'S
/� S
,[ J
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
/
f
CHECK
y
-,
<
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
C L ST
/
i
-1_
•
3
CHECK
•- •
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
f APPLICATION FOR ELECTRICAL PERMIT
Permit No. / • Date_
4:2 /, 9 e
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte or 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 - ul No Street
Registered Architect and /or Engine
Employing Electrician's Name _ T _ No Street______________
Location and Legal Description Lot Block Subdivision_ _
Street and Number where work is to be performed —No Street "
State work to be performed and purpose of building (By Floors)
New Building A Remodeling Addition Repairs
Amount of Permit $
COUNTY OF DADE. es.
My Commission Expires
1
(Signed) !!
STATE OF FLORIDA,
J z
Notary Public. State of Florida
No. of Stories.
Overhead
Size Feeders Conduit__ i Main Sw ___ Amps. ____�_ Main Fuses____1 V Amps.
Serv �kl
Type of Installation— Conduit Tubing_X B.X.L. Metal Moulding
(Signed) _ IA A . - ___?
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
.. -114
ster Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit
• y-^
MIAMI SHORES VI LLAG E
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 forte 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 / " ` ` ``� S '�''t -- No
Registered Architect and /or Engi 7
Employing Electrician's Name __!___r_
Location and Legal Description Lot.
Street and Number where work is to be performed —No
Street -t� --
Blo k
State work to be performed and purpose of building (By Floors)
New Building ____ Remodeling Addition Repairs
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 $
STATE OF FLORIDA,
COUNTY OF DADE.
83.
My Commission Expires
(Signed)
r•.
Date - -- - {. f
•
Street_
Street
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfo ed under this permit, as are
licensed by Miami Shores Village. i
Notary Public, State of Florida
- Ya
No. of Stories
(Signed) / __1 _ r
Master Elca n � . � Y � f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
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.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS,
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit
• y-^
MIAMI SHORES VI LLAG E
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 forte 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 / " ` ` ``� S '�''t -- No
Registered Architect and /or Engi 7
Employing Electrician's Name __!___r_
Location and Legal Description Lot.
Street and Number where work is to be performed —No
Street -t� --
Blo k
State work to be performed and purpose of building (By Floors)
New Building ____ Remodeling Addition Repairs
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 $
STATE OF FLORIDA,
COUNTY OF DADE.
83.
My Commission Expires
(Signed)
r•.
Date - -- - {. f
•
Street_
Street
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfo ed under this permit, as are
licensed by Miami Shores Village. i
Notary Public, State of Florida
- Ya
No. of Stories
(Signed) / __1 _ r
Master Elca n � . � Y � f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Service Overhead Size Feeders____._ Conduit
Underground
Type of Installation— Conduit Tubing
Amount of P it $ 1—
STATE OF FLORIDA,
COUNTY OF DADE. f
ss.
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
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 rules and regulations of the Building Division
of approved plans and specifications must be kept at
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village
of Miami Shores Village shall be complied with, whether herein specified or not. A copy
building during progress of work.
_C - • e!! �'1. No a t 1.4
4
IA:— -- 2344r. ------- - - - - --
-------- --
r — No. S t r e e t '�^'e
' Block __ _
Subdivision —
Street )1 1 � _ =Li
Street and Number where work is to be performed —No 4 LI
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repails
Main Sw.____ Amps.
B.X.L Metal Moulding
(Signed)
Date_
1
The un ersigned applicant or this Vut t mit does hereby ce
under the Florida Workmen's Compensation Act, bein Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
•
Notary Public, State of Florida
1 4 _14 !0
Street g L C ' 4 1c3
No. of Stories.
Main Fuses Amps.
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
authorized to administer oaths and take acknowledgments, personally
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
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.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Service Overhead Size Feeders____._ Conduit
Underground
Type of Installation— Conduit Tubing
Amount of P it $ 1—
STATE OF FLORIDA,
COUNTY OF DADE. f
ss.
Before me, the undersigned authority, a notary public, duly
appeared
to me well known, and who, being by me first duly sworn, upon oath
of the above described construction, that he has carefully read the
therein by him stated are true.
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 rules and regulations of the Building Division
of approved plans and specifications must be kept at
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village
of Miami Shores Village shall be complied with, whether herein specified or not. A copy
building during progress of work.
_C - • e!! �'1. No a t 1.4
4
IA:— -- 2344r. ------- - - - - --
-------- --
r — No. S t r e e t '�^'e
' Block __ _
Subdivision —
Street )1 1 � _ =Li
Street and Number where work is to be performed —No 4 LI
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repails
Main Sw.____ Amps.
B.X.L Metal Moulding
(Signed)
Date_
1
The un ersigned applicant or this Vut t mit does hereby ce
under the Florida Workmen's Compensation Act, bein Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
•
Notary Public, State of Florida
1 4 _14 !0
Street g L C ' 4 1c3
No. of Stories.
Main Fuses Amps.
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
authorized to administer oaths and take acknowledgments, personally
deposes and says that he is the
foregoing application, and that he did sign the same, and that all facts
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.
'- 0 • ,
v :
MIAMI SHORES VILLAGE
I LLAG E
APPLICATION FOR ELECTRICAL PERMIT
Permit No,_ 1___
ELECTRICAL INSPECTION DEPARTMENT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith isubmitted , r 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.
r . �� ,.
Owner's Name and Address . _._a!��'-'�"ti'"�,�r 'V
Registered Architect and /or Engineer 9 _{ t t., , - t
-------- -�+- - -- t�
Employing Electrician's Name _ _: _{ '— �'''� '' _ No. ..1-,0 d.. Street___L W / }} * �j 7 _ ,h__
Location and Legal Description Lot__ .2 "�.c!___.___Block I i Subdivision__' __11l__ _ _:_ ___l_____
ry �
Street and Number where work is to be performed —No __! Street____M t _L '___ if- 4 4.-
State work to be performed and purpose of building (By Floors) _
New Building Remodeling Addition Repairs No. of Stories
Date_
No Street_
•
'?, j
Service Overhead Size Fee
Underground
Type of Installation —Cond Tubing
Amount of Permit $- _,/„Lr"Z)
My Commission Expires
Conduit
Amps. _________ Main Fuses Amps.
Metal Moulding
(Signed)
(Signed) _
Notary Public, State of Florida
Electrj4lI Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 1 r
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. Vic 1
v
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared -- - - - - --
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
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 SERVICE
PERM.
TEMP. or
/
Attar,
f
1
MOTORS
O -I HP
MOTORS
1 -D HP�
y NS
RADIO
TOTAL
CONTR.
LIST
CHECK
M , !
f '
h
W
'- 0 • ,
v :
MIAMI SHORES VILLAGE
I LLAG E
APPLICATION FOR ELECTRICAL PERMIT
Permit No,_ 1___
ELECTRICAL INSPECTION DEPARTMENT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith isubmitted , r 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.
r . �� ,.
Owner's Name and Address . _._a!��'-'�"ti'"�,�r 'V
Registered Architect and /or Engineer 9 _{ t t., , - t
-------- -�+- - -- t�
Employing Electrician's Name _ _: _{ '— �'''� '' _ No. ..1-,0 d.. Street___L W / }} * �j 7 _ ,h__
Location and Legal Description Lot__ .2 "�.c!___.___Block I i Subdivision__' __11l__ _ _:_ ___l_____
ry �
Street and Number where work is to be performed —No __! Street____M t _L '___ if- 4 4.-
State work to be performed and purpose of building (By Floors) _
New Building Remodeling Addition Repairs No. of Stories
Date_
No Street_
•
'?, j
Service Overhead Size Fee
Underground
Type of Installation —Cond Tubing
Amount of Permit $- _,/„Lr"Z)
My Commission Expires
Conduit
Amps. _________ Main Fuses Amps.
Metal Moulding
(Signed)
(Signed) _
Notary Public, State of Florida
Electrj4lI Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 1 r
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. Vic 1
v
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared -- - - - - --
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
' JOB: -1.
..4
•
•
BUILDING :
ELECTRICAL:
PLUMBING .
Or
Inspo r's Report: -
•
•
: WORK
• DONE BY
•
•
•
: REQUESTED
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
AD:
The following is ready for Inspection:
: WILL BE READY
ELECTRICAL:
PLUMBING :
Inspector's Report: -
JOB:
AD • S Mt E ! / "t I
/ 7
BUILDING
: WORK
• ' DONE BY _?i
: REQUESTED
The following is ready for Inspection:
?,
•
•
•
•
44 4.1 41.E l
•
: WILL BE READY
•
Power: C
MIAMI SHORES VILLAGE PERMIT
No. ///
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at li ? V f • 4 • 9 5 S t
by Address
for 5' and occupied as '
has been nspected and current is authorized to be turned on, until otherwise notified, for: /
Size of Service .4 41
Number of Lighting Circuits
Range ] watts. Water Heater
Other Apparatus
ected load
watts
H P. Space Heaters watts
THIS CERTIFIegS THAT the wiring and apparatus installed at
1
by .• t , , 1■ , Address
for - - /Ft t owner, and occupied as ' .,t ` t'
has been inspected and current is authorized to be turned on, until otherwise notified, for --J ( < ' ` ` 1 f
Size of Service --------
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
No: ;. • -
/" /
PERMIT
Number of Lighting Circuits
Range watts. Water Heater watts
Power: Connected load H P. Space Heaters watts
Other Apparatus
ELECTRIC /INSPECTOR.
Owner's Name and Address
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PAP FOR ELECTRICAL PERMIT
Permit No. 12 0
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 _
o
Employing Electrician's Name �y� =�� `� ^! r- ,_ No.
Location and Legal Description Lot ___ Block _
Street and Number where work is to be performed —No is
i l it''
State work to be performed and purpose of building (By Floors)
No «'
a P
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
STATE OF FLORIDA,
COUNTY OF DADE. i ss.
Amount of Permit $_
The undersigned applicant for this • ui ding . - mit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, bein_ Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
(Signed)
•
Street
Date_
-41- t i J" F
(
Notary Public, State of Florida
( 11 4 i 3
Street 4 C 61.
Street 0 4/ I V 6 _
Subdivision_ _ 4
Electrical Inspector.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
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.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
PAP FOR ELECTRICAL PERMIT
Permit No. 12 0
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 _
o
Employing Electrician's Name �y� =�� `� ^! r- ,_ No.
Location and Legal Description Lot ___ Block _
Street and Number where work is to be performed —No is
i l it''
State work to be performed and purpose of building (By Floors)
No «'
a P
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
STATE OF FLORIDA,
COUNTY OF DADE. i ss.
Amount of Permit $_
The undersigned applicant for this • ui ding . - mit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, bein_ Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
(Signed)
•
Street
Date_
-41- t i J" F
(
Notary Public, State of Florida
( 11 4 i 3
Street 4 C 61.
Street 0 4/ I V 6 _
Subdivision_ _ 4
Electrical Inspector.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No /l
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date— —_ (f 6 6 /% 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fo t to 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.
7(
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
6j
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name /f
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit_____ Tubing
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
My Commission Expires
s
/ " --a llo Street ;A "
Block
- No Street
Main Sw. Amps. _____ Main Fuses Amps.
B.X.L Metal Moulding
(Signed)
Street
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
/%✓
1
(Signed) i"/___
Subdivision_
No. of Stories
Master Electrican.
Before me, the undersigned authority, a notary public, duly
appeared -- — — -- — — —..
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
authorized to administer oaths and take acknowledgments, personally
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
/g
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 /l
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date— —_ (f 6 6 /% 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fo t to 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.
7(
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
6j
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name /f
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit_____ Tubing
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
My Commission Expires
s
/ " --a llo Street ;A "
Block
- No Street
Main Sw. Amps. _____ Main Fuses Amps.
B.X.L Metal Moulding
(Signed)
Street
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
/%✓
1
(Signed) i"/___
Subdivision_
No. of Stories
Master Electrican.
Before me, the undersigned authority, a notary public, duly
appeared -- — — -- — — —..
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
authorized to administer oaths and take acknowledgments, personally
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
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt or 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. Street
Registered Architect and /or Engineer
Owner's Name and Address ___ ......
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date- a-,414,- • # —
Employing Electrician's Name
MIAMI SHORES VILLAGE
Location and Legal Description Lot Block Subdivision_
Street and Number where work is to be performed —No :J 2 4 1 Street_' __/
State work to be performed and purpose of building (By Floors)
New Building
Remodeling Addition Repairs
No. Street
Service Overhead
Adst4d Size Feeders Conduit__. Main Sw f Amps. Main Fuses
Type of Installation— Conduit Tubing_X B.X.L. Metal Moulding
No of Stories
Amps.
(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 com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under 'signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $_ 2
STATE OF FLORIDA,
COUNTY OF DADE.
8S.
My Commission Expires
(Signed)
"tl�Ister Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared _
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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
CL IST
//
/
a .. _
CHECK
,,i '..
j 4
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
I -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
//I �
J
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitt or 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. Street
Registered Architect and /or Engineer
Owner's Name and Address ___ ......
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date- a-,414,- • # —
Employing Electrician's Name
MIAMI SHORES VILLAGE
Location and Legal Description Lot Block Subdivision_
Street and Number where work is to be performed —No :J 2 4 1 Street_' __/
State work to be performed and purpose of building (By Floors)
New Building
Remodeling Addition Repairs
No. Street
Service Overhead
Adst4d Size Feeders Conduit__. Main Sw f Amps. Main Fuses
Type of Installation— Conduit Tubing_X B.X.L. Metal Moulding
No of Stories
Amps.
(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 com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under 'signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $_ 2
STATE OF FLORIDA,
COUNTY OF DADE.
8S.
My Commission Expires
(Signed)
"tl�Ister Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared _
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
APPLICATION FOR ELECTRICAL PERMIT
Permit No.__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted /r 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
Employing Electrician's Name O. 4=1 -4a No — — --
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 Repairs
Registered Architect and /or Engineer
Service Overhead Size Fee
Underground
Type of Installation —Cond
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
ELECTRICAL INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
My Commission Expires
726
Conduit Mig
i,
Tubing B.X.L.
Amps. Main Fuses Amps.
Metal Moulding
(Signed)
(Signed) r
Date____.
No Street
Street__
717
Subdivis
No. of Stories
Electrif! Inspector.
rtify that he understands and accepts his obligations as � employer of 1
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub- contractors, on work to be performed under this permit, as are
Notary Public, State of Florida
Master Electrican.
j l
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared - ------ _ - -_ --
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
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
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
��
7 / �.
MOTORS
0-1 HP
MOTORS
1 -5 HP
T ANS.
RADIO
TOTA
CONTR.
LIST
/.
i
i �
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No.__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith bmitted /r 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
Employing Electrician's Name O. 4=1 -4a No — — --
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 Repairs
Registered Architect and /or Engineer
Service Overhead Size Fee
Underground
Type of Installation —Cond
Amount of Permit $
The undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit; and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
ELECTRICAL INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
My Commission Expires
726
Conduit Mig
i,
Tubing B.X.L.
Amps. Main Fuses Amps.
Metal Moulding
(Signed)
(Signed) r
Date____.
No Street
Street__
717
Subdivis
No. of Stories
Electrif! Inspector.
rtify that he understands and accepts his obligations as � employer of 1
Compiled General Laws of Florida Permanent Supplement, and has com-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub- contractors, on work to be performed under this permit, as are
Notary Public, State of Florida
Master Electrican.
j l
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared - ------ _ - -_ --
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
by
for
Size of Service - .4..-
MIAMI CHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
.
1
PERMIT
No.
THIS CERTIFIES THAT the wiring and apparatus installed at ? J ,/' ' • - - l
Address
has been inspected and current is authorized to be turned on, until otherwise notified, for:
owner, and occupied as
Number of Lighting Circuits
Range • ` watts. Water Heater - watts
Power: C9nhected load H. P. Space Heaters
Other Apparatus
watts
( mum._ .
CCT,R
, 1 , # ∎ELE ICAr4 C. *VW R':
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building /4 A
Architect
Contractor
or Builder - - ' V-• .' .j
Legal Lot
Description . i
CONT1RAt6OR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE i4'"
PERMIT N° 1171
Work to be performed under this Permit
0
Subdi-
vision
Contractor's
License No.
BY AUTHORITY
Address of t / �r ' Value of Amt. of
Building f 'T "No- ` Project Permit
194
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 Alan ' or drawings qr in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. f'
Signed • 1 } ° 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 regula-
tions pertaining thereto and trict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. fn accepti this p it I assume r ponsibility for all work done by either myself, my agent, servant or employee.