ELECTRICALBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
3 1' fi
Lot
Work to be performed under this Permit
d •�
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 1428 Contractor's
License No
Bl.
Subdi-
vision
Value of
Project
BY
DATE
Amt. of
Permit
194
,��rr
This permit is granted to the contractor or 'builder named above to construct the building or to install the ec uipment 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 empioyees.
Sigty(td " 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 Mipmi Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. li
AUTHORITY
BUILDING
ELECTRICAL PERMIT A IsT° _ 745
PLUMBING
Proposed Location
AMOUNT
Owner of Building
„,•
.Architect and/or Engineer
NAME
Contractor or Builder____?:
NAME
NAME
0
—, 1 9_
. • ,
ADDRESS
ADDRESS
BUILDING INSPECTION DEPARTMENT
ADDRESS LICENSE NO.
•
73 21,4
MIAMI SHORES VILLAGE
LICENSE NO.
LOT BLOCK auB-DIVISION_ ..„ _........
NO.
.
STREET
.,-
This permit is issued to ----1.-_..- To_ .... ____ _
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector.
$ 1
RECD. PAYMENT ACCT. DEPT. INSPECTOR
MMII■1I•1
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
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.__
Amount of Permit $_
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address ;
Registered Architect and /or Engineer
Location and Legal Description Lot
SS.
My Commission Expires
i? No
(Signed)
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date / V4
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
Employing Electrician's Name 41s Utjto
Block i n-
7 .7 8 1 fl Street
Subdivision
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Notary Public, State of Florida
9e `'.
Street and Number where work is to be performed —No 1 , 21 &'9 greet_____________________ _______________________________
No. of Stories
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Electrical Inspector.
The undersigned 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 ernployed 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 o be performed under this permit, as are
licensed by Miami Shores Village.
NJ Master Electrican.
STATE OF FLORIDA,
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, 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.
DIS7'.
CAB.
SERVICE
i
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
IST
LIST
CHECK
Permit No.__
Amount of Permit $_
Application is hereby made for the approval
structure herein described. This application is
and all provisions of the Laws of the State of
of Miami Shores Village shall be complied
building during progress of work.
Owner's Name and Address ;
Registered Architect and /or Engineer
Location and Legal Description Lot
SS.
My Commission Expires
i? No
(Signed)
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date / V4
of the detailed statement of the plans and specifications herewith submitted for the building or other
made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
with, whether herein specified or not. A copy of approved plans and specifications must be kept at
Employing Electrician's Name 41s Utjto
Block i n-
7 .7 8 1 fl Street
Subdivision
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Notary Public, State of Florida
9e `'.
Street and Number where work is to be performed —No 1 , 21 &'9 greet_____________________ _______________________________
No. of Stories
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Electrical Inspector.
The undersigned 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 ernployed 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 o be performed under this permit, as are
licensed by Miami Shores Village.
NJ Master Electrican.
STATE OF FLORIDA,
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, 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
by
for ; _ r f 1 f % owner, and occpi$d a
Other Apparatus
MIAMI SHORES VILLAGE PERMIT
Office of Electrical Inspector
No.
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at
Address
has been inspected and current is authorized to be turned on, it oth r iea 4iotified, for:
Size of Service Nuu ibe4e(Lightfng Circuits,
Range waits. Witter Heater watts
ea
Power: Connected load P. Space Hers watts
ELEL INSPECTOR.
WILDING 1
ELECTRICAL PERMIT A N° 660
PLUMBING
Owner of Building
Architect and /or Engineer
Contractor or Builder___- _
Proposed Location —
$ --
AMOUNT
Dated_
LOT
NAME
NAME
BLOCK
•
SUB- DIVISION
This permit is issued to 4:-.--4- _— 7'' — L:T"2----' To _ " T_ ./
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specifications unaatborized by'the building inspector.
RECD. PAYMENT ACCT. DEPT.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
19
ADDRESS LICENSE NO.
ADDRESS
ADDRESS
.d +
NO.
LICENSE NO.
STREET
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
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
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
H PERMIT N° 10328
Lill
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No
Amt. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. •
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
Permit No.
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed —No.
State work to be perfor and purpose of building (By Floors)
New Building
Service Overhead Size Feeders Conduit Main Sw. Amps. _
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. f
SS.
My My Commission Expires
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
L1_
Date_ 4J // i1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address - No VL L v Street__ —
Registered Architect and /or Engineer
Employing Electrician's Name N
Location and Legal Description Lot ,C� Block
Subdivision_
Street
Remodeling Addition Repairs
(Signed) / / 9 J . �,
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 o be performed under this 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 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
No. of Stories
Main Fuses Amps.
Master Electrican.
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
T
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
IST
LIST
CHECK
Permit No.
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed —No.
State work to be perfor and purpose of building (By Floors)
New Building
Service Overhead Size Feeders Conduit Main Sw. Amps. _
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. f
SS.
My My Commission Expires
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
L1_
Date_ 4J // i1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address - No VL L v Street__ —
Registered Architect and /or Engineer
Employing Electrician's Name N
Location and Legal Description Lot ,C� Block
Subdivision_
Street
Remodeling Addition Repairs
(Signed) / / 9 J . �,
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 o be performed under this 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 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
No. of Stories
Main Fuses Amps.
Master Electrican.
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:
BUILDING
ELECTRICAL :
PLUMBING
•
: WORK
• DONE BY:
: REQUESTED
Inspector's Report: .
•
•
•
•
•
•
AD:, /73
The following is ready for Inspection: -
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date -7
l
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted 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 wo
G i____
Permit No. -- )
Owner's Name and Address
licensed by Miami Shores Village.
STATE OF FLORIDA, ,
COUNTY OF DADE. j �
Registered Architect and /or Engineer __
Employing Electrician's Name
Location and Legal Description Lot 2 ` tf x___
Service Overhead Size Feeders
jr3nrinra rn...,,t
Type of Installation -- Conduit Tubing
Amount of Permit $
My Commission Expires
Street and Number where work is to be performed— No.___ __�
State work to be performed and purpose of building (By Floors)
New Building Remodeling
(Signed)
Street
Subdivision__ 2
Street_ �
_ . t ' ' ' 0
6 G
Street__ ./l1L
Addition Repairs —___ No. of Stories
Conduit__ "___ Main SW._____ O Amps.
(Signed) e /t�
Main Fuses 6 Amps.
B.X.L. Metal Moulding
—
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
I iS
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
Master Electrican.
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
R ECE - T'S
// / //�]
(/
FIXTURES
NO.LAMPS
REFRIO.
OUT�
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
L (
/*
/
y'
((
/
CHECK
•
/
ENT.
SW.
GIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
IST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date -7
l
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted 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 wo
G i____
Permit No. -- )
Owner's Name and Address
licensed by Miami Shores Village.
STATE OF FLORIDA, ,
COUNTY OF DADE. j �
Registered Architect and /or Engineer __
Employing Electrician's Name
Location and Legal Description Lot 2 ` tf x___
Service Overhead Size Feeders
jr3nrinra rn...,,t
Type of Installation -- Conduit Tubing
Amount of Permit $
My Commission Expires
Street and Number where work is to be performed— No.___ __�
State work to be performed and purpose of building (By Floors)
New Building Remodeling
(Signed)
Street
Subdivision__ 2
Street_ �
_ . t ' ' ' 0
6 G
Street__ ./l1L
Addition Repairs —___ No. of Stories
Conduit__ "___ Main SW._____ O Amps.
(Signed) e /t�
Main Fuses 6 Amps.
B.X.L. Metal Moulding
—
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
I iS
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
Master Electrican.
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
L
% (s
f,
Application is hereby made for the approval of the detailed staternent of the plans and specifications herewith sub tted for the
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications
building during progress of work.
Owner's Name and Address �A
Registered Architect and /or Engineer
Employing- Electrician's Name 1 'efLlt _ e
Location and Legal Description Lot J' 2 i d Block Subdivision__ —
Street and Number where work is to be performed —No S � 3 r Stmt �_ _J.___ 1 i
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $____
STATE OF FLORIDA,
COUNTY OF DADE. ss.
APPLICATION! FOR ELECTRICAL PERMIT
My Commission Expires
MIAMI SHORES VI LLAG E
ELECTRICAL INSPECTION DEPARTMENT
No. Street
No
Date_
Street
Service Overhead Size Feeders Conduit____/ _ Main Sw
Underground X Type of Installation— Conduit Tubing X B.X.L. Metal Moulding
(Signed)
(Signed)
Amps Main Fuses 6 Q Amps.
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.
4
Notary Public, State of Florida
building or other
Village, Florida,
Building Division
must be kept at
Master 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
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
/
r
/
I
� �
CHECK
";
q
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Application is hereby made for the approval of the detailed staternent of the plans and specifications herewith sub tted for the
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications
building during progress of work.
Owner's Name and Address �A
Registered Architect and /or Engineer
Employing- Electrician's Name 1 'efLlt _ e
Location and Legal Description Lot J' 2 i d Block Subdivision__ —
Street and Number where work is to be performed —No S � 3 r Stmt �_ _J.___ 1 i
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $____
STATE OF FLORIDA,
COUNTY OF DADE. ss.
APPLICATION! FOR ELECTRICAL PERMIT
My Commission Expires
MIAMI SHORES VI LLAG E
ELECTRICAL INSPECTION DEPARTMENT
No. Street
No
Date_
Street
Service Overhead Size Feeders Conduit____/ _ Main Sw
Underground X Type of Installation— Conduit Tubing X B.X.L. Metal Moulding
(Signed)
(Signed)
Amps Main Fuses 6 Q Amps.
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.
4
Notary Public, State of Florida
building or other
Village, Florida,
Building Division
must be kept at
Master 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 No._ _
Application is hereby made for the approval of the detailed statement o f 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.
,, 7' r � yJ � 6 i
Owner's Name and Address___ 01- C.O e)Pri ------- - - - - -- No e 3 Street___(( � `• _ / I � f
�___ f[�
Registered Architect and /or Engineer__
Employing Electrician's Name__C! ii..2__�______ _ > No s _ i __ Street__ . jii) �
Location and Legal Description Lot
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__
Service Overhead Size Feeders _Main Sw._______________________Amps. Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing _ X_____ B.X.L. _ Metal Moulding
Amount of Permit $ __-
i
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.__
D -a
The undersigned applicant for this building permit does hereby certify that nderstands and accepts his obligations as an employe r of
labor under the Florida Workmen's Compensation Act, being Section 5966, -led General Laws of Florida Perma ent Supp , 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 p osted 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.
Block Subdivision
Addition__ Repairs__)( No. of Stories
(Signed
(Signed)
STATE OF FLORIDA,
I
COUNTY OF DADS. ss.
Electrical Inspector.
n Supplement,
--u, . Master Electrician.
•
Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and ake acknowledgments, personally
appeared_______ -
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
7'72
�.?
y
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
I
CHECK
Permit No._ _
Application is hereby made for the approval of the detailed statement o f 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.
,, 7' r � yJ � 6 i
Owner's Name and Address___ 01- C.O e)Pri ------- - - - - -- No e 3 Street___(( � `• _ / I � f
�___ f[�
Registered Architect and /or Engineer__
Employing Electrician's Name__C! ii..2__�______ _ > No s _ i __ Street__ . jii) �
Location and Legal Description Lot
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__
Service Overhead Size Feeders _Main Sw._______________________Amps. Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing _ X_____ B.X.L. _ Metal Moulding
Amount of Permit $ __-
i
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date.__
D -a
The undersigned applicant for this building permit does hereby certify that nderstands and accepts his obligations as an employe r of
labor under the Florida Workmen's Compensation Act, being Section 5966, -led General Laws of Florida Perma ent Supp , 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 p osted 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.
Block Subdivision
Addition__ Repairs__)( No. of Stories
(Signed
(Signed)
STATE OF FLORIDA,
I
COUNTY OF DADS. ss.
Electrical Inspector.
n Supplement,
--u, . Master Electrician.
•
Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and ake 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.
Inspection
REQUEST FOR INSPECTION
Company
Job
Address <-
PHONE
Time Ready
/ ° A
Date Ready
Permit No.
APPLICATION FOR ELECTRICAL PERMIT
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 be kept at
building during progress of work.
Owner's Name and Address No. Street
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
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
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.Y.L. Metal Moulding
Amount of Permit $_
My Commission Expires
1-1 _ Block
N
(Signed)
(Signed)
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Notary Public. State of Florida
f \t‘
Subdivision_
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 wor, to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. s, :.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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.
No. of Stories..
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
TER
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.
APPLICATION FOR ELECTRICAL PERMIT
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 be kept at
building during progress of work.
Owner's Name and Address No. Street
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
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
Service Overhead Size Feeders Conduit Main Sw. Amps. Main Fuses Amps.
Underground
Type of Installation— Conduit Tubing B.Y.L. Metal Moulding
Amount of Permit $_
My Commission Expires
1-1 _ Block
N
(Signed)
(Signed)
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Notary Public. State of Florida
f \t‘
Subdivision_
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 wor, to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. s, :.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, 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.
No. of Stories..