ELECTRICALPermit No.(13 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $ ■
G i /7b7
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT /
Date 9 //' S �l �7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ?ca n/ Rohl NSO
Registered Architect and /or Engineer
Employing ing,}EEll ctrl is 's s / Name V S .... L- re TRIG
/` 3° n an Legal escr ion Lot 61,54-:- Block/7#
Street and Number where work is to be performed —No 99°/ q5 5�
No 7 ?
N y , Street / / 6 Q Si 7 5 Ave-
Subdivision �� . A... , 0
Street
Street
999 AvE 994
S1-A // 2 »Sc0.t..vc4-7 roR 5fvri C'oAlpeslo
Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing.. ... B.X.L Metal Moulding
T
(Signed) T t I 4 k . r f
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I U.
(Signed) CAdl4 e /7S I9
Muter Electrician.
Before me, the undersigned authonty, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•ipspection 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
O
LIGHT
0
PLUG
RECC•P T $
FIXTURES
NO LAMPS
RE /RIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
14
W. MEAT.
Comm.
SPACE
14
STRIP
NEATER
i
TOTAL
CONTR.
LIST
5/ t7'{/
30,00
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•0 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.(13 1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Amount of Permit $ ■
G i /7b7
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT /
Date 9 //' S �l �7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ?ca n/ Rohl NSO
Registered Architect and /or Engineer
Employing ing,}EEll ctrl is 's s / Name V S .... L- re TRIG
/` 3° n an Legal escr ion Lot 61,54-:- Block/7#
Street and Number where work is to be performed —No 99°/ q5 5�
No 7 ?
N y , Street / / 6 Q Si 7 5 Ave-
Subdivision �� . A... , 0
Street
Street
999 AvE 994
S1-A // 2 »Sc0.t..vc4-7 roR 5fvri C'oAlpeslo
Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing.. ... B.X.L Metal Moulding
T
(Signed) T t I 4 k . r f
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I U.
(Signed) CAdl4 e /7S I9
Muter Electrician.
Before me, the undersigned authonty, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•ipspection 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
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
0 ,,/ DATE � � r � 19
❑ PERMIT N9 5798 Contractor's
License No.
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
❑ Work to be performed under this Permit—
CONTRACTOR OR BUILDER
B1
Subdi-
vision
Address of Value of I Amount of
Building Project $ I Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. - INSPECTOR
In consideration of the issuance to me of this permit 1 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 ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employes.
BY AUTHORITY
AIUOT
MIAMI SHORES VILLAGE, FLA. N? 6404
JOB
ADDRESS 7? 7 AJ C
INSPECTION ' • ( • ��-
TIME READY A : • . 1q•
77
n
7
REMARKS :
6r
INSPECTOR
DATE
MIAq1 SHORES VILLAGE, F
JOB C (6--
ADDRESS C r 1- C -.)1
INSPECTION 1 TIME READY I 1 ^ . 3 -
REMARKS •
°>.)-(■-e
INSPECTOR
LA. No 6420
DATE
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT C
Date (C ` —(
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 Auerbach No 999 N.E. Street 99
Registered Architect and /or Engineer
Employing Electrician's Name SUN STATE ELECTRIC, INC. N 9709 N.W. 2 • 4venue
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
(Signed)
(Signed)
fr O. dF4 l A
E ectricttI Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work. such•p .lic notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be pe rnied un. this permit, as are
licensed by Miami Shores Village.
Mast Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON ,
OUTLET
IJTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
9 p ( .,,
I_
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
S MICE
!M.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
��
i
i
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT C
Date (C ` —(
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 Auerbach No 999 N.E. Street 99
Registered Architect and /or Engineer
Employing Electrician's Name SUN STATE ELECTRIC, INC. N 9709 N.W. 2 • 4venue
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
(Signed)
(Signed)
fr O. dF4 l A
E ectricttI Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work. such•p .lic notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be pe rnied un. this permit, as are
licensed by Miami Shores Village.
Mast Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No L?.. 1....
Date � . { `(
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address A i, bach No 999 N.E. Street 99
Registered Architect and /or Engineer
Employing Electrician's Name SUN STATE ELECTRIC, INC. No 9709 N.W. 27 Agenue
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ • v&C
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed un.e this permit, as are
licensed by Miami Shores Village. -'
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed) t,,,4,,,
(Signed).
ADDITIONAL TO PERM #5798
WILL CALL n '
Notary Public, State of Florida
4-.
Mast el Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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 SERVICE
TEMP. PERM.
MOTORS
0.1 HP
MOTORS
1.9 HP
N EON RADIO
TRANS.
TOTAL
CONTR.
LIST
Relocate meter to cutside
Set,t4.i
1 central
a 5 HP
C
3.00
3.00
CHECK
B Mor- t� ..12-4 Ls:- i
J
Permit No L?.. 1....
Date � . { `(
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address A i, bach No 999 N.E. Street 99
Registered Architect and /or Engineer
Employing Electrician's Name SUN STATE ELECTRIC, INC. No 9709 N.W. 27 Agenue
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ • v&C
STATE OF FLORIDA, }
COUNTY OF DADE.
APPLICATION FOR ELECTRICAL PERMIT
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed un.e this permit, as are
licensed by Miami Shores Village. -'
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed) t,,,4,,,
(Signed).
ADDITIONAL TO PERM #5798
WILL CALL n '
Notary Public, State of Florida
4-.
Mast el Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
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.
appeared
Amount of Permit S_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No. ___ jl__�;1. ' Date_.Z >" '
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.
My Commission Expires
Owner's Name and Address ->!'t -' L _ —! a.? f F e ` t
Registered Architect and /or Engin _____ /
Employing Electrician's Name - - __.__. ___-- - -____ ___�___� No.
oc
Block
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) /. a '' - = _ = `= - /1 – ` — "
New Building Remodeling Addition Repairs__
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing B.X.L Metal Mouldin
Main Sw
(Signed)
(Signed)
Amps.
Street- /i
Street
Subdivision
Main Fuses__
Master Electrican:
Notary Public. State of Florida
No. of Stories
Amps.
Elec ' al Inspector.
The undersigned applicant fo'?' is building permit does hereby certify fat a understands and accepts his obligations as an employer of 1 or
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has om-
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
required by the Act. The under signed agrees to employ only such sub - contractors, on work to 12, performed under this permit,
licensed by Miami Shores Village.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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
i ce .
W
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT:
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
appeared
Amount of Permit S_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No. ___ jl__�;1. ' Date_.Z >" '
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.
My Commission Expires
Owner's Name and Address ->!'t -' L _ —! a.? f F e ` t
Registered Architect and /or Engin _____ /
Employing Electrician's Name - - __.__. ___-- - -____ ___�___� No.
oc
Block
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) /. a '' - = _ = `= - /1 – ` — "
New Building Remodeling Addition Repairs__
Service Overhead Size Feeders Conduit
Underground
Type of Installation— Conduit Tubing B.X.L Metal Mouldin
Main Sw
(Signed)
(Signed)
Amps.
Street- /i
Street
Subdivision
Main Fuses__
Master Electrican:
Notary Public. State of Florida
No. of Stories
Amps.
Elec ' al Inspector.
The undersigned applicant fo'?' is building permit does hereby certify fat a understands and accepts his obligations as an employer of 1 or
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has om-
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
required by the Act. The under signed agrees to employ only such sub - contractors, on work to 12, performed under this permit,
licensed by Miami Shores Village.
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
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.
BUILDING
ELECTRICAL :
Inspector's Report:
WORK
PLUMBING DONE BY:
REQUESTED
The following is ready for Inspection:
AD: 9Y 4 " E 9yac.
06/_ t9/4‘/6
•
•
31'
WILL BE READY
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus pparatus installed at
by
r;
MIAMI SHORES VILLAGE PERMIT
, r
No. 6
Address
for ' "'' owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits
Range watts. Water Heater watts
Power: Connected load H P. Space eaters watts
Other Apparatus
ELECTRICAL INSPECTOR.
STATE OF FLORIDA,
DA
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
,/
Permit No.. ___ _______� Date____ 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No street/ ,
Owner's Name and Address
Registered Architect and /or Engineer __. _____ __ ____
r
Employing Electrician s Name __n-i.....-(.1 �__���_ <___� , . � ,, t
_. No._�__ ___ _ -� Street � _� --
Location and Legal Description Lot____
g - " " ock � � `"• Subdivision__
—
Street and Number where work is to be performed—No 9 j//b,;
State work to be pep and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overh Size Feeders`_1_!_� Conduit °' � ___ Main Sw. uttcoz
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
/u
4c
Amount of Permit $�, (Signed) _ ___ 3._' - _' _
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify thatTe 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 o
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.
Amps. 1 1) O Main Fuses__ �� Amps.
i
Notary Public, State of Florida
y ,
No. of Stories
Master Electrican.
COUNTY OF DE. 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
OUTLET
PLUG
RECE•P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
....1,..
/ rs
-
i
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
I -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
pti Li'
.
41 C /
CHECK
'
STATE OF FLORIDA,
DA
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
,/
Permit No.. ___ _______� Date____ 1
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
No street/ ,
Owner's Name and Address
Registered Architect and /or Engineer __. _____ __ ____
r
Employing Electrician s Name __n-i.....-(.1 �__���_ <___� , . � ,, t
_. No._�__ ___ _ -� Street � _� --
Location and Legal Description Lot____
g - " " ock � � `"• Subdivision__
—
Street and Number where work is to be performed—No 9 j//b,;
State work to be pep and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Overh Size Feeders`_1_!_� Conduit °' � ___ Main Sw. uttcoz
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
/u
4c
Amount of Permit $�, (Signed) _ ___ 3._' - _' _
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify thatTe 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 o
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.
Amps. 1 1) O Main Fuses__ �� Amps.
i
Notary Public, State of Florida
y ,
No. of Stories
Master Electrican.
COUNTY OF DE. 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.
JO
ELECTRICAL
•
Inspector's Report:
BUILDING
ELECTRICAL
PLUMBING
Inspector's Report:
•••
•
a)4 o 3
•
•
WORK
DONE BY:
REQUESTED
•
The following is ready for Inspection:
: WORK
• DONE BY:
REQUESTED
The following is ready for Inspection:
•
•
•
•
•
WILL BE READY
/
JOB:
AD: 9 ir" ??
: WILL BE READY
1111111111.-
3
3
r
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. !' -
Owner's Name and Address _ , A '�
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot _
Street and Number where work is to be performed —No
State work Jo be performed and purpose of building (By Floors) �.
New Building Remodeling L Addition
Amount of Permit $__— ___l%__
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
�nw
_Block
(Signed)
the undersigned authority, a notary public, duly authorized
No.--- L.1'_ -- h.-)
/7a
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
Date_
Street2 '_ -
Notary Public, State of Florida
e of the work such public notice or notices as are
ork jo be performed under this permit, as are
Street__ -------- f '
Subdipision_ I �_ = 5
treel _________ --
Electric nspector.
The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compil 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 o
required by the Act. The under signed agrees to employ only such sub -cons
licensed by Miami Shores Village.
4 E ectrican.
Before me,
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.
to administer oaths and take acknowledgments, personally
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.
...01
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. !' -
Owner's Name and Address _ , A '�
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot _
Street and Number where work is to be performed —No
State work Jo be performed and purpose of building (By Floors) �.
New Building Remodeling L Addition
Amount of Permit $__— ___l%__
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
My Commission Expires
�nw
_Block
(Signed)
the undersigned authority, a notary public, duly authorized
No.--- L.1'_ -- h.-)
/7a
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
Date_
Street2 '_ -
Notary Public, State of Florida
e of the work such public notice or notices as are
ork jo be performed under this permit, as are
Street__ -------- f '
Subdipision_ I �_ = 5
treel _________ --
Electric nspector.
The undersigned applicant for this building permit does hereby certify that understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compil 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 o
required by the Act. The under signed agrees to employ only such sub -cons
licensed by Miami Shores Village.
4 E ectrican.
Before me,
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.
to administer oaths and take acknowledgments, personally
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.____ y __ Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name - __ft-__ No. --__ -- _ _- ______ Street__
Location and Legal Description Lot__ Block
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling____________ Addition
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
STATE OF FLORIDA,
COUNTY OF DADE. as.
MIAMI SHORES VILLAGE
(Signed)
'4 1
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
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.
Master ctrica
n.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall'
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all fa+
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 f:
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.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.____ y __ Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name - __ft-__ No. --__ -- _ _- ______ Street__
Location and Legal Description Lot__ Block
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling____________ Addition
Amount of Permit $
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
STATE OF FLORIDA,
COUNTY OF DADE. as.
MIAMI SHORES VILLAGE
(Signed)
'4 1
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
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.
Master ctrica
n.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall'
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all fa+
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 f:
materials and /or workmanship.
JOB:
BUILDING •
. •
. .
. .
ELECTRICAL .
• /
PLUMBING
. DONE BY:
:
77'
WORK
•
/ :REQUESTED •
.
WILL BE READY
. .
, /
)
The following is ready for Inspection: -
Inspector's Report : -
• ______ rd,
* Ael t
b
h%)
Size of Service
Dther Apparatus
MIAMI SHORES VILLAGE PERMIT
No. - •
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at
'1
Address
f
for owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Number of Lighting Circuits
Range watts. Water Heater - -"""watts
Power: Connected load (H P. Space Heaters--" � watts
r
A
ELECTRICAL INSPECTOR.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Contractor_ .:.
or Builder °` "''
Legal Lot d I Bl.
Description
Address of
Building
771
MIAMI SHORES VILLAGE, FLORIDA ,s
DATE .�`�" 194/
PERMIT N° 2807
Work to be performed,under this Permit
Architect ,
Subdi-
vision
Value of
Project
Contractor's .•"I.
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 aboveassumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plank.or drawings' or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. ' y s+ ,-r . ,�.:, „, .. - "'
�
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 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 p eitlfr myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
Contractor's
License No
PERMIT N° 2023
Work to be performed under this Permit
Subdi-
vision
Legal Lot Bl.
Description
Address of
Building /
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
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 pertat n thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. I p is permit I assume responsibility for all work done by either myself, my agent, servant or employee.
�� r s /1r 1. • e , i.
s
CONTRACTOR OR B(JILDER BY AUTHORITY
A /
Value of
Project
Amt. of
Permit
s '
Signed • By
INSPECTOR
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
do s l
Vi lag
Lot
•
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 2919
Work to be performed under this Permit
DATE
/
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 drawi. s of in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed• .
•
r
Contractor's
License No.
Subdi-
vision
a µ „ ' � Value of Amt. of
i ' .� Project Permit
194L
INSPECTOR
eration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
7 this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
7_.
CONTRACTO BUILDER BY AUTHORITY
JOB:
BUILDING
ELECTRICAL
PLUMBING
• WORK
DONE BY
▪ :REQUESTED : WILL BE READY
•
•
▪ •• •
‘;' - •
• •
• •
/- •
The following is ready for inspection: -
Inspector's Report : -
/0
A 997,1;c,fiF.
•
Owner's Name and Address
Registered Architect and /or Eniinee
Employing Electrician's Name
Location and Legal Description Lot
Permit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/ I
Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, _ whether herein specified or not. A copy of approved plans and specifications muff be kept at
building during progress of work.
N
_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
No-9 ? L str -
Subdivision_
Service Overhead Size Feeders Conduit.________ Main Sw. Amps. Main Fuses_
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
(Signed)
(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 the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contract s>� o� site '� be performed under this permit, as are
licensed by Miami Shores Village.
Street
Repairs
a
Notary Public. State of Florida
No. of Stories
Amps.
_-w
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'
FIXTURES
NO. PS
REFRI O.
O UTLET
IRON
O UTLET
RANGE
O UTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR. i LIST
LIST
CHECK
l
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address
Registered Architect and /or Eniinee
Employing Electrician's Name
Location and Legal Description Lot
Permit
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/ I
Date_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, _ whether herein specified or not. A copy of approved plans and specifications muff be kept at
building during progress of work.
N
_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
No-9 ? L str -
Subdivision_
Service Overhead Size Feeders Conduit.________ Main Sw. Amps. Main Fuses_
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
(Signed)
(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 the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub-contract s>� o� site '� be performed under this permit, as are
licensed by Miami Shores Village.
Street
Repairs
a
Notary Public. State of Florida
No. of Stories
Amps.
_-w
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.
„I
Permit No.___G _— __________:_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied ,with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work/.
Owner's Name and Address r ._— ° No. Street
My Commission Expires
Registered Architect and /or Engineer :i______ 7_--_ _r_ r ....„I'.._
/
Employing Electrician's Name ___ -
No ._'5 _
_ _V Street .4 . " L.
Location and Legal Description Lot_____.:______:.._ _Block______,___t Subdivision_ N•z_
t' • Street and Number where work is to be performed —No. !___._ _ - Street Street 1- 9`.:1
State work to be permed a purpose of building (By Floors
New Building_______ _�__________ Remodeling Additiol Repairs —___ No. of Stories
Service
Overhead Size Feeders' ' L / • Conduit ___ Main Sw._1� Amps. � L ' r � —_ Main Fuses___) Gu Amps.
Type of Installation— Conduit Tubing ' B.X.L .Metal Moulding
fir ___ - ---, - ----- -- ---- --- ----------- -- - - -- - - "� - -- -- -- -
Amount of Permit $ (Signed) ___,a? _ ____ __ >' � �
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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, outwork, to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) e--- I -= --� - - - --- - - --f--- -4:;° ,�_t.e^'fe"Gll r "'_
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.
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
OUTLET
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 (.
a /
If r
J --
-
I.
- -
'
'
-
•
'73
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
9 0
I/ & r
CHECK
„I
Permit No.___G _— __________:_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied ,with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work/.
Owner's Name and Address r ._— ° No. Street
My Commission Expires
Registered Architect and /or Engineer :i______ 7_--_ _r_ r ....„I'.._
/
Employing Electrician's Name ___ -
No ._'5 _
_ _V Street .4 . " L.
Location and Legal Description Lot_____.:______:.._ _Block______,___t Subdivision_ N•z_
t' • Street and Number where work is to be performed —No. !___._ _ - Street Street 1- 9`.:1
State work to be permed a purpose of building (By Floors
New Building_______ _�__________ Remodeling Additiol Repairs —___ No. of Stories
Service
Overhead Size Feeders' ' L / • Conduit ___ Main Sw._1� Amps. � L ' r � —_ Main Fuses___) Gu Amps.
Type of Installation— Conduit Tubing ' B.X.L .Metal Moulding
fir ___ - ---, - ----- -- ---- --- ----------- -- - - -- - - "� - -- -- -- -
Amount of Permit $ (Signed) ___,a? _ ____ __ >' � �
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has 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, outwork, to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) e--- I -= --� - - - --- - - --f--- -4:;° ,�_t.e^'fe"Gll r "'_
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.
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.
LICATION FOR ELECTRICAL PERMIT
ms s ,
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.
Permit No
AP
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No.
State work• to be performed and purpose of building (By Floors
New Building Remodeling Additi
Service Overhead Size Feeders
Underground
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.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
--w
..w
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
No.__ 1 I
lock
(Sig
-1-
Date
Street
Sub t stop_
Repairs No. of Stories
Conduit Main Sw. Amps. Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
(Signed) —� * � P r {
r ",. Electric i nspector.
rtify that( understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has corn -
from all contractors or sub - contractors employed by him in the work to be
inspection on• 3't of the work such public notice or notices as are
sub - contractors, on
rly'"fo be erformed under this
Street
Notary Public, State of Florida
9
ALE'
permit, as are
Mas ter E ectrican.
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.
re- inspection is made necessary by improper notice for inspection, or faulty
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
LICATION FOR ELECTRICAL PERMIT
ms s ,
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.
Permit No
AP
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No.
State work• to be performed and purpose of building (By Floors
New Building Remodeling Additi
Service Overhead Size Feeders
Underground
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.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
--w
..w
NOTE: A re- inspection fee of $1.00 will be made when such
materials and /or workmanship.
No.__ 1 I
lock
(Sig
-1-
Date
Street
Sub t stop_
Repairs No. of Stories
Conduit Main Sw. Amps. Main Fuses Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
(Signed) —� * � P r {
r ",. Electric i nspector.
rtify that( understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has corn -
from all contractors or sub - contractors employed by him in the work to be
inspection on• 3't of the work such public notice or notices as are
sub - contractors, on
rly'"fo be erformed under this
Street
Notary Public, State of Florida
9
ALE'
permit, as are
Mas ter E ectrican.
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.
re- inspection is made necessary by improper notice for inspection, or faulty
Permit
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
No
Employing Electrician's Name , �___ _
de
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead Size Feeders Conduit.___ - -- Main Sw.______ __ Amps. Main Fuses________________Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding ___—____ _________—_________________-
•
Amount of Permit $
(Signed)
Repairs No. of Stories
e-,
1
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.
STATE OF FLORIDA,
COUNTY OF DADE. gs.
(Signed)
Date- ----__ v
Subdivision_
Street ' --L- __
My Commission Expires Notary Public, State of Florida
Street _..z �__:_ r
Master E1tctrican.
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
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
REFRI G.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
No
Employing Electrician's Name , �___ _
de
Location and Legal Description
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead Size Feeders Conduit.___ - -- Main Sw.______ __ Amps. Main Fuses________________Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding ___—____ _________—_________________-
•
Amount of Permit $
(Signed)
Repairs No. of Stories
e-,
1
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.
STATE OF FLORIDA,
COUNTY OF DADE. gs.
(Signed)
Date- ----__ v
Subdivision_
Street ' --L- __
My Commission Expires Notary Public, State of Florida
Street _..z �__:_ r
Master E1tctrican.
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
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.
a "t R
Date_ -- J -– ' ,
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 6
Owner's Name and Address t = " .__ _ __— ________ _._ s/
ci. 1 i i
H /
•
Permit No._w " ____.r_ '
----------- - -- - -- - --
Amount of Permit $ '
APPLICATION FOR ELECTRICAL PERMIT
6 _
Registered Architect and /or Engineef
jj
Employing Electrician's Name ' �1— 1 �_1 No.
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 No. of Stories
Service Overhead Size Feeders Conduit. Main Sw
Underground
Type of Installation— Conduit Tubing —__ B.X.L.______________.Metal Moulding
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
-Block
(Signed)
Amps. Main Fuses
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, oa‘ yor# io be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) c '�
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 be is the _____ ________�__�_______________w._�
of the above described construction, that he has carefully read the foregoing application, and that be 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'P . T'S
FIXTURES
NO. LAMPS
REF RIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
•
CHECK
a "t R
Date_ -- J -– ' ,
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. 6
Owner's Name and Address t = " .__ _ __— ________ _._ s/
ci. 1 i i
H /
•
Permit No._w " ____.r_ '
----------- - -- - -- - --
Amount of Permit $ '
APPLICATION FOR ELECTRICAL PERMIT
6 _
Registered Architect and /or Engineef
jj
Employing Electrician's Name ' �1— 1 �_1 No.
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 No. of Stories
Service Overhead Size Feeders Conduit. Main Sw
Underground
Type of Installation— Conduit Tubing —__ B.X.L.______________.Metal Moulding
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
-Block
(Signed)
Amps. Main Fuses
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, oa‘ yor# io be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) c '�
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 be is the _____ ________�__�_______________w._�
of the above described construction, that he has carefully read the foregoing application, and that be 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.