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1239 NE 100 St (7)Permit No / C � Registered Architect and /or En in r Employing Electrician's Name � v� Amount of Permit $ .? 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 ° omitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address No Street.. Location and Legal Description Lot Street and Number where work is to be performed —No 1..- New Building Remodeling Addition 4"' Date. G o Lf street fry/ r Street State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADS 6s. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 therein by him stated are true. g 6 0 - 5f Block Subdivision Repairs No. of Stories Q ectrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices b 'performed under this permit, as are J., Master Electrician. and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. AL% MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No / C � Registered Architect and /or En in r Employing Electrician's Name � v� Amount of Permit $ .? 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 ° omitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address No Street.. Location and Legal Description Lot Street and Number where work is to be performed —No 1..- New Building Remodeling Addition 4"' Date. G o Lf street fry/ r Street State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding (Signed) The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADS 6s. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 therein by him stated are true. g 6 0 - 5f Block Subdivision Repairs No. of Stories Q ectrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices b 'performed under this permit, as are J., Master Electrician. and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 0 Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. g Registered Architect and /or Engineer ��rr 1Z © ,,/ Employing Electrician's Name.... ..� /._11�.�a'.�1Q �' (A/ i IQ I e• i' 1 �.No !1�� Street h I� 6- a' I Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 9 State work to be performed and purpose of building (By Floors) eR F.,$ / P C E. New Building Remodeling Addition Repairs The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. S S. No a, 3/ Street ....i H. F• /00 s r 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) Electrical Inspector (Signed) 1 STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 therein by him stated are true. Street it E. / O p r No. of Stories ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employe him in the of the work such public ' e or notices be performed under this permit, as are .0>° Master Electrician. and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS 2EFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.8 HP N EON TRANS. RADIO TOTAL CONTR. LIST / / ®er, CHECK Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 0 Permit No Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. g Registered Architect and /or Engineer ��rr 1Z © ,,/ Employing Electrician's Name.... ..� /._11�.�a'.�1Q �' (A/ i IQ I e• i' 1 �.No !1�� Street h I� 6- a' I Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 3 9 State work to be performed and purpose of building (By Floors) eR F.,$ / P C E. New Building Remodeling Addition Repairs The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. S S. No a, 3/ Street ....i H. F• /00 s r 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) Electrical Inspector (Signed) 1 STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 therein by him stated are true. Street it E. / O p r No. of Stories ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employe him in the of the work such public ' e or notices be performed under this permit, as are .0>° Master Electrician. and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • Permit No �. 3 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 Engine Employing Electrician's Name — — —_ No. C'� Street f/ V Location and Legal Description Lot ` _ ��_— _�___�________________Block Subdivision_ Street___ �L`Y -__‘ Amount k '-- - — — — — Amount of Permit $- appeared _ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed— No. ___/ _h_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs - Service Overhead Size Feeders.____ Conduit. ____ Main Sw._ Amps. Underground Type of Installation -- Conduit Tubing B.X.L. Metal Moulding _______________________ _w__ (Signed) Date '_.`O - 5y Main Fuses__ My Commission Expires Notary Public. State of Florida No. of Stories___________ Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) �` - _ •eE ��4'�_'!`'- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally • 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 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 NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK J } Ial • Permit No �. 3 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 Engine Employing Electrician's Name — — —_ No. C'� Street f/ V Location and Legal Description Lot ` _ ��_— _�___�________________Block Subdivision_ Street___ �L`Y -__‘ Amount k '-- - — — — — Amount of Permit $- appeared _ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT Street and Number where work is to be performed— No. ___/ _h_ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs - Service Overhead Size Feeders.____ Conduit. ____ Main Sw._ Amps. Underground Type of Installation -- Conduit Tubing B.X.L. Metal Moulding _______________________ _w__ (Signed) Date '_.`O - 5y Main Fuses__ My Commission Expires Notary Public. State of Florida No. of Stories___________ Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) �` - _ •eE ��4'�_'!`'- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally • 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. BUILDIMG ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA �'�PERMIT N? 10959 Work to be performed under this Permit .A2iLify 4000t0•1 Architect Contractor or Builder + +, +... Legal Lot II Subdi- M. vision Description Address Of Value of Amt, of f Building /aC , , f ! - E_ / G2 J1.' Project 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 e st ments . specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • / �� -.c,< ti'` . �. ` BY 1NSPE OR In consideration of the issuance to me of this permit I agree' , perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing atements or specifications submitted to the proper authorities of Miami Shores Village. In a ng.this permit I sume res nsibility for all work doi*r'.y either, myself, my agen servant or employee. CONTRACTOR OR BUILDER BY • DA '1'F' Contractor's License No AUTHORITY MI MI S1-toREs ' ILL : FLORIDA BUILDING ELECTRICAL PLUMBING Work to be performed under this Permit Owner of Building } _... .Architect Contractor or Builder Legal Description. Address of Building Lot 1 1 H -1 1( ERMIT N? 10644 CONTRACTOR OR BUILDER BL • Subdi- vision Value of Project $ 195 Ccntractoes License No u Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • - e . ( BY - INSPE _ _ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, Statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done` " "by either, myself, my agent, servant or employee. BY AUTHORITY Permit No. . /..j 7 Owner's Name and Address � Amount of Permit $ STATE OF FLORIDA, • } COUNTY OF DADE. ss. Before me, the undersi appeared s� t 7 L MIAMI SHORES VILLAGE ELECTR ICAL 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. 1, t c / Registered Architect and /or Engineer .- ' ..EA Employing Electrician's Name...... Location and Legal Description Lot Block Subdivision (' Street and Number where work is to be performed —No / 3 ?-2- Street / U 0 . d ..l. tr. P..!;✓. .... State work to be performed and purpose of building (By Floors) New Building �� Remodeling Addition Repairs No. of Stories Service n eground Size Feeders / Conduit.. Main Sw l d ¢ Amps / U 0 Main Fuses / ' Amps / 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 2 ,} 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 he,,". T 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 orp ca." g' as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as licensed ,� li ed by Miami Shores Village. / . # 74d e vt-tat Master Electrician e (Signed) (Signed)... No I.. 3.. J _S• Date j No.. .. 2- 3 7 Street / d D frn PVT Street L1/ a ,notry duly authorized to administer oaths and take acknowledgments, personally 1 to me well known, and who, being by me first lywoi, 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. �� d SWITCH OUTLETS LIGHT OUTLETS ./ / PLUG RECE'P'T'S 2 FIXTURES NO. LAMPS / I REFRIG. OUTLET �-F- / { IRON OUTLET / 6 RANGE OUTLET / f .rrf �'j ,J RANGE CONN. WATER HEATER W. HEAT. CONN. / SPACE HEATER STRIP HEATER TOTAL CONTR. LIST // 7 CHECK rye+ ✓ ,5-y L27: / �j ( / V /� I M ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. IST LIST / 1 , CHECK r' Permit No. . /..j 7 Owner's Name and Address � Amount of Permit $ STATE OF FLORIDA, • } COUNTY OF DADE. ss. Before me, the undersi appeared s� t 7 L MIAMI SHORES VILLAGE ELECTR ICAL 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. 1, t c / Registered Architect and /or Engineer .- ' ..EA Employing Electrician's Name...... Location and Legal Description Lot Block Subdivision (' Street and Number where work is to be performed —No / 3 ?-2- Street / U 0 . d ..l. tr. P..!;✓. .... State work to be performed and purpose of building (By Floors) New Building �� Remodeling Addition Repairs No. of Stories Service n eground Size Feeders / Conduit.. Main Sw l d ¢ Amps / U 0 Main Fuses / ' Amps / 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 2 ,} 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 he,,". T 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 orp ca." g' as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as licensed ,� li ed by Miami Shores Village. / . # 74d e vt-tat Master Electrician e (Signed) (Signed)... No I.. 3.. J _S• Date j No.. .. 2- 3 7 Street / d D frn PVT Street L1/ a ,notry duly authorized to administer oaths and take acknowledgments, personally 1 to me well known, and who, being by me first lywoi, 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. �� d Permit No. v ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �! Application is hereby made for the approval of the detailed statement of the plans and specifications her tth subr6itted for the building or other structure herein described. This application is made in compliance and conformity with the Building O inance 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 G e..se P e .U..1A.r2. No Street Registered Architect and /or Engineer y,;;a' ,i-" f � Employing Electrician's Name ...... ,c°./.G2G.1< No Street 4 Block ,,, Subdivision..V"-;":::' S S. MIAMI SHORES VILLAGE Location and Legal Description Lot... ,73 ,,: te.?' 4 Street and Number where work is to be performed —No Street... dr ,...,t'' L".:." ie,.?'.`..,, State work to be perform and purpose of building (By Floors) New Building.... Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding (Signed) Amount of Permit $ 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. 4 STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A 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. t ON LET RANGE OUTLET RANGE CON WATER H EATER W. HEAT. C N. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST - /'� CHECK j . ' A ENT. SW. DIST. CAB. SERVICE TEMP. S VICE ERM. M OTORS 0.1 HP M OTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No. v ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �! Application is hereby made for the approval of the detailed statement of the plans and specifications her tth subr6itted for the building or other structure herein described. This application is made in compliance and conformity with the Building O inance 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 G e..se P e .U..1A.r2. No Street Registered Architect and /or Engineer y,;;a' ,i-" f � Employing Electrician's Name ...... ,c°./.G2G.1< No Street 4 Block ,,, Subdivision..V"-;":::' S S. MIAMI SHORES VILLAGE Location and Legal Description Lot... ,73 ,,: te.?' 4 Street and Number where work is to be performed —No Street... dr ,...,t'' L".:." ie,.?'.`..,, State work to be perform and purpose of building (By Floors) New Building.... Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding (Signed) Amount of Permit $ 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. 4 STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A 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.