ELECTRICAL PERMITMIAMI SHORES VILLAG
BUILDING DEPARTMENT
305- 795 -2204
Buildin Inspection Request
Date
Inspection Date
Approved
Correction
Re- Insp'n Fee
Type Insp'n
Permit No.
Name e'-'0
Address 2Z 1Q. C- , o l
Company - R. l� ° �J
Phone# '7 .UIS to Z`1 — l U
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 9644
:z.
CONTRACTOR OR BUILDER
t "
Bl.
Work to be performed under this Permit
Signed •
Subdi-
vision
Sq. Ft
Value of
; project $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
1, _
INSPECTOR
BY
DATE
Contractor's ,•
License No
Amt. of
Permit $
AUTHORITY
BY
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 suIS'mitted 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.
I7
Permit No
STATE OF FLORIDA, }
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date / A
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. �4/. �/
Owner's Name and Address / / 4 �� /! 7 No 7 t. f& Street ..K L / w ! mil
Registered Architect and /or Engineer �/ �—
Employing Electrician's Name .4,4 4 `+ �7 ( . No � Street.:/ 1Y /
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No ,/i.e 2. 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
n
Amount of Permit $ [+ (Signed)
Electrical Inspe .r.
The undersigned applicant for this building permit does hereby certify that he understands and accep•. I s obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of •rida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or s.:•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 o the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
GJ
--L-----
N3
CHECK
v"O
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
STATE OF FLORIDA, }
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date / A
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. �4/. �/
Owner's Name and Address / / 4 �� /! 7 No 7 t. f& Street ..K L / w ! mil
Registered Architect and /or Engineer �/ �—
Employing Electrician's Name .4,4 4 `+ �7 ( . No � Street.:/ 1Y /
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No ,/i.e 2. 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
n
Amount of Permit $ [+ (Signed)
Electrical Inspe .r.
The undersigned applicant for this building permit does hereby certify that he understands and accep•. I s obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of •rida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or s.:•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 o the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
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.
Legal
Description.
Address of
Building
Lot
PERMIT IT? . 12781
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
❑ Work to be performed under this Permit
Bl.
Architect
Contractor
or Builder
Subdi-
vision
Value of
Project $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. -- +— �• -..Y..
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
DATE - ._ 195
Contractor's
License No
Amt. of
Permit $ r
AUTHORITY
Permit No vi 'ti
Street and Number where work
State work to be performed and
New Building
Amount of Permit $
Owner's Name and Address
Registered Architect and /or E
Employing Electrician's Name..
Location and Legal Description Lot..../.�
licensed by Miami Shores Village.
sS.
MIAMI SHORES VILLAGE
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.
ELECTRICAL INSPECTION DEPARTMENT
r
is to be performed —No
purpose of building (By Floors)
Remodeling Addition Repairs No. of Stories
Servi Overhead Size Feeder Feeder: A Conduit / ° Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
No Street
Street
Subdivision A
c..2- o
Street j t 5 �/ ) �d
No
Block -1 -
/a �,�
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
Master Electrician.
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, 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
mateials 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
4....E..4_
�' I
V /
' /
{
Add
/ di)
�f
/ ,
/
/
7 5
I a
Aea
CHECK
�(t
It I J
��
ENT.
SW.
r DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
1 V V
/ ,
Permit No vi 'ti
Street and Number where work
State work to be performed and
New Building
Amount of Permit $
Owner's Name and Address
Registered Architect and /or E
Employing Electrician's Name..
Location and Legal Description Lot..../.�
licensed by Miami Shores Village.
sS.
MIAMI SHORES VILLAGE
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.
ELECTRICAL INSPECTION DEPARTMENT
r
is to be performed —No
purpose of building (By Floors)
Remodeling Addition Repairs No. of Stories
Servi Overhead Size Feeder Feeder: A Conduit / ° Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
No Street
Street
Subdivision A
c..2- o
Street j t 5 �/ ) �d
No
Block -1 -
/a �,�
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
Master Electrician.
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, 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
mateials and /or workmanship.