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ELECTRICAL PERMITPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date -6 -/ 7 9/ .Job Address / 2 6.6 N E /D / sreee.. Tax Folio // S,2Q$' DFj c0 7d 9' Legal Description / Lessee / Tenant $' re C c. / F' b Owner's Address I Z C (0 N G ✓ I b( 51 e C . T Phone 7,.rA 8 o G Contracting Co. Jr in (A) i TAKE-2 I N C Address Master Permit # - 3 117-Sfo iw 51 pL^cE Qualifier J A n-tgs M. ( , c 1 N 'TAke2 ) .Je SS# - Phone G ZS- /q Z State# .5" -G Competency# /`T 33 9 �� Ins. Co. Architect /Engineer Bonding Company -- Mortgagor Permit Type (circle one): BUILDING ECT PLUMBING MECHANICAL PAVING FENCE SIGt' WORK DESCRIPTION . eivT' /fi9 L AA ,v p` SAT S72/, AgagO EXAcT Re,e_NeeenipuT / - Z ToN 3 ec/ r sY.tTE" a.,-. N-e/4T 0 - Z. S" T'o N s e rr sys7Erh 8 .S iri,✓ kf-EA t Ig Square Ft. Estimated Cost If 3 d'1) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR' IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate•and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Owner and ,(J Condo President Date: Date: 4otar as o Owner an /or Co 0 President ,y Co ission * pires: ,j( //b 9 2 *' * I r * ERMIT FEE: APPROVED: E446 oning Building echanical Plumbing Fire Address Address Address / 244(..4-0 gnature of Contractor or Owner -Builder dLi ary a& to Contractor . o Offer- Builder • MY Commission Expires: '0/6 * * * * Other Engineering * * Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT New Building Remodeling Addition My Commission Expires (Signed Date Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1266 Street Amount of Permit $ . 4.00 (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont work to be performed under this permit; and will post or cause to be posted for inspec on the site of the as are required by the Act. The undersigned agrees to employ only such sub'contr ors n work to be perfor licensed by Miami Shores Village. Notary Public, State of Florida /G - 2 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. 5302 Owner's Name and Address ST1221I18Y' No 12i 6 Street X. E. 101 St. Registered Architect and /or Engineer Dewey xab!kiX19....4,....C.. 902..:5.... U....69..._;Ivo . Employing Electrician's Name No Street id. E. 101 St. State work to be performed and purpose of building (By Floors) 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 1 2hp wi nrow 14,.0Q0 ... TU Electrical Inspector. bligations as an employer of Permanent Supplement, and ctors employed by him in the rk such public notice or notices under t . ' permit, as are Master Electrician. 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. 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. CAS. SERVICE TEMP. 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 New Building Remodeling Addition My Commission Expires (Signed Date Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1266 Street Amount of Permit $ . 4.00 (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont work to be performed under this permit; and will post or cause to be posted for inspec on the site of the as are required by the Act. The undersigned agrees to employ only such sub'contr ors n work to be perfor licensed by Miami Shores Village. Notary Public, State of Florida /G - 2 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. 5302 Owner's Name and Address ST1221I18Y' No 12i 6 Street X. E. 101 St. Registered Architect and /or Engineer Dewey xab!kiX19....4,....C.. 902..:5.... U....69..._;Ivo . Employing Electrician's Name No Street id. E. 101 St. State work to be performed and purpose of building (By Floors) 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 1 2hp wi nrow 14,.0Q0 ... TU Electrical Inspector. bligations as an employer of Permanent Supplement, and ctors employed by him in the rk such public notice or notices under t . ' permit, as are Master Electrician. 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. 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 3 / 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 'submi ed 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 � + ✓ L No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ! !� ' . Street...., b I t e∎ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition L Repairs Date 3 /5(r I L....(e.. Street,.(!.) ( L� No. of Stories Servi 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) ( " )- ‘ e - 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 to _e performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I 55. 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 (Signed) Notary Public, State of Florida ter Electrician. 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 REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. so ca HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP -- 41;t 7 M OTORS 1.5 HP N EON TRANI. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 3 / 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith 'submi ed 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 � + ✓ L No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ! !� ' . Street...., b I t e∎ State work to be performed and purpose of building (By Floors) New Building Remodeling Addition L Repairs Date 3 /5(r I L....(e.. Street,.(!.) ( L� No. of Stories Servi 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) ( " )- ‘ e - 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 to _e performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I 55. 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 (Signed) Notary Public, State of Florida ter Electrician. 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 building during progress of work. r..._ Owner's Name and Address i .D. ... i Registered Architect and /or Engineer Employing Electrician's Name STATE OF FLORIDA, l COUNTY OF DADE. I State work to be performed and purpose of building (By Floors) nr . SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L Amount of Permit $ / (Signed) The undersigned applicant for this building permit does hereby certify that he understkhds 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. Date ....t 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 No Street No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .. d4 « 1 � J Street New Building Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps Metal Moulding Electrical 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 be performed under this permit, as are (Signed) ' 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 therein by him stated are true. 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 workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No building during progress of work. r..._ Owner's Name and Address i .D. ... i Registered Architect and /or Engineer Employing Electrician's Name STATE OF FLORIDA, l COUNTY OF DADE. I State work to be performed and purpose of building (By Floors) nr . SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L Amount of Permit $ / (Signed) The undersigned applicant for this building permit does hereby certify that he understkhds 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. Date ....t 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 No Street No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .. d4 « 1 � J Street New Building Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps Metal Moulding Electrical 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 be performed under this permit, as are (Signed) ' 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 therein by him stated are true. 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 workmanship. BUILDING ELECTRICAL PLUMBING Owner of -/ Building J . CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE— 194e_S – r' R PERM1T N° 8918 Work to be performed under this Permit Contractor's License No. BY AUTHORITY r Architect Contractor or Builder i 1 Legal ' Lot Bl. Subdi- Description vision Address of / /� Value of Amt. of Building , . : E S i , Project Permit / .. _ . t 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 .s : wings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. /' Signed. .. �.. /,�' . c' B .' / INSPECTOR In consideration of the issuance to me of this permit I agree to perform the ork covered hereunder in compliance with all ordina es 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. / 1 Bi*DING ELEbTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description trot MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N? 8787 Work to be performed under this Permit i F Bl. Subdi- vision Contractor's License No. Address of / y / ! f ,; � j. Value of Amt. of %�. ( / Proje Permit %i 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 appli- cation herefor in snict 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 irk 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 regukitions g to the work covered hereby whether shown on the plans_pr.drawings or in the sta or specifications and 'hat he assumes respon- sibility for work done by his agents, servants or employees. \ / i J Signed. , By INSPECTOR i In ion of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordina 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 jorll work done by either myself, my agent, servant or employee. .. 1 ' / . . / t _ ACTOR OR BUILDER AUTHORITY Permit No._ r Service erhead Underground Type of Installation Amount of Permit S L ' Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name __ Size Feeders. .% My Commission Expires 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. Location and Legal Description Lot U v �___ Block / Street and Number where work is to be performed —No State work to e performed and purpose of building (By Floors) New Building_ Remodeling Addition.. Repairs Tubin Conduit_ Main Sw.__/4 a___ Amps. B.X.L. Metal Moulding ________________ ____ _______ —��_ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that )nderstands and accepts his obliglions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiledneral 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) No �l _ _ StreetJ¢ (Signed) - i` • <' Street__ Subdivision Notary Public. State of Florida No of Stories Main Fuses2a Amps. STATE OF FLORIDA, COUNTY OF DADE. J 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 be 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 r OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER i� TOTAL t:LIST LIST / / / ET f�e ! 2 / _L__ /_L__ / 2 -�� CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / / / CHECK Permit No._ r Service erhead Underground Type of Installation Amount of Permit S L ' Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name __ Size Feeders. .% My Commission Expires 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. Location and Legal Description Lot U v �___ Block / Street and Number where work is to be performed —No State work to e performed and purpose of building (By Floors) New Building_ Remodeling Addition.. Repairs Tubin Conduit_ Main Sw.__/4 a___ Amps. B.X.L. Metal Moulding ________________ ____ _______ —��_ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that )nderstands and accepts his obliglions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiledneral 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) No �l _ _ StreetJ¢ (Signed) - i` • <' Street__ Subdivision Notary Public. State of Florida No of Stories Main Fuses2a Amps. STATE OF FLORIDA, COUNTY OF DADE. J 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 be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No.___ 05C__ 7 _____ Owner's Name and Address New Building__ Amount of Permit S STATE OF FLORIDA, COUNTY OF DADE. ss. 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 rein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. C :r -- c°----- --- �-- _ — __..� Street - - ----- -- Registered Architect and /or Engi r ___ __ —_ ___ —_!e • —_—_— — • . Y Employing Electrician's Name __ • _ .___ - — No _ Location and Legal Descript n L _ _— — — Block Subdivisio -- - -- - / - - rr � — — / /_ -- Street and Number where work is to be performed—No C2.L/ �__ __�_ —____ Street__/ `! State work to • ormed and purpose of building (By Floors) —___ • _ __ Q`L 1 Remodeling Addition.. Repairs Service Overhead Size Feeders____— Conduit____ Main Sw._,_____ —_— Amps. Main Fuses _Amps. Underground Ty p -o( Installation— Conduit Tubing B.X.L. Metal Moulding ___________ _____ ______________________________ My Commission Expires N (Signed) (Signed) Date -- - - - e,—Z)— Notary Public. State of Florida No. of Stories Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he tt derstands and accepts his obliga o s 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 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 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. 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 LI HT OUTLETS %ail ETS 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. I SERVICE CAS. TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.___ 05C__ 7 _____ Owner's Name and Address New Building__ Amount of Permit S STATE OF FLORIDA, COUNTY OF DADE. ss. 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 rein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. C :r -- c°----- --- �-- _ — __..� Street - - ----- -- Registered Architect and /or Engi r ___ __ —_ ___ —_!e • —_—_— — • . Y Employing Electrician's Name __ • _ .___ - — No _ Location and Legal Descript n L _ _— — — Block Subdivisio -- - -- - / - - rr � — — / /_ -- Street and Number where work is to be performed—No C2.L/ �__ __�_ —____ Street__/ `! State work to • ormed and purpose of building (By Floors) —___ • _ __ Q`L 1 Remodeling Addition.. Repairs Service Overhead Size Feeders____— Conduit____ Main Sw._,_____ —_— Amps. Main Fuses _Amps. Underground Ty p -o( Installation— Conduit Tubing B.X.L. Metal Moulding ___________ _____ ______________________________ My Commission Expires N (Signed) (Signed) Date -- - - - e,—Z)— Notary Public. State of Florida No. of Stories Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he tt derstands and accepts his obliga o s 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 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 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. 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.