133 NE 100 St (9)ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
■ Z 7
Permit No 7 �� Date — 7 — c_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 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.
�� r ^ /
�h �' . �
Owner's Name and Address No / Street ' — 1 /
Registered Architect and /or Engineer _% )
/ •-2 4� .
Employing Electrician's Name No Street
Location and Legal Description Lot Block l Subdivision
Street and Number where work is to be performed —No / ' 3 ' � < a 0 StreeS
State work to be performed and purpose of budding (By Floors)
Amount of Permit $
MIAMI SHORES VILLAGE
REpl
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders :l - ` . con Main Sw
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
(Signed)
Amps Main Fuses Amps
cctri Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' ons u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont ctors 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, ork to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
Master ElEctrician.
STATE OF FLORIDA,
COUNTY OF DADE. I
as.
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
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 L
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. H EAT.
CONN.
SPACE
H EATER
STRIP
H EATER
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
t
e ,,
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
■ Z 7
Permit No 7 �� Date — 7 — c_
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 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.
�� r ^ /
�h �' . �
Owner's Name and Address No / Street ' — 1 /
Registered Architect and /or Engineer _% )
/ •-2 4� .
Employing Electrician's Name No Street
Location and Legal Description Lot Block l Subdivision
Street and Number where work is to be performed —No / ' 3 ' � < a 0 StreeS
State work to be performed and purpose of budding (By Floors)
Amount of Permit $
MIAMI SHORES VILLAGE
REpl
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders :l - ` . con Main Sw
Underground
Type of Installation— Conduit Tubing B.X.L .Metal Moulding
(Signed)
Amps Main Fuses Amps
cctri Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ' ons u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-cont ctors 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, ork to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
Master ElEctrician.
STATE OF FLORIDA,
COUNTY OF DADE. I
as.
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
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 .. N
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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu: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
Amount of Permit $ 3
8s.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No 1.3 2
Registered Architect and /or Engineer `
Employing Electricia6's Name.. 4 ii.No P .1.� 0 t ' ' Street 6 G7:
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
(Signed)
(Signed)
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L . Metal Moulding
45)4
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Flo / da 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date .1
ff " Street C V J
Master Electrician.
STATE OF FLORIDA, l
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANO!
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 .. N
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 of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu: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
Amount of Permit $ 3
8s.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No 1.3 2
Registered Architect and /or Engineer `
Employing Electricia6's Name.. 4 ii.No P .1.� 0 t ' ' Street 6 G7:
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
(Signed)
(Signed)
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L . Metal Moulding
45)4
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations as an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Flo / da 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Date .1
ff " Street C V J
Master Electrician.
STATE OF FLORIDA, l
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.
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at 1 d_ �
i
2° 2 . ,) ;� ,, . , e fi 4,
b . � � Address `1-..-
for , Ii7-1,fL _ owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
i
Size of Service ` i z e Number of Lighting Circuits J
Range /l e) watts. Water Heater - 1,- r, watts
Power: Connected load ' n �% H. P. Space Heaters � � /� ,‘ watts
Other Apparatus G - /'
0
PERMIT
No. Z
ELECTRICAL INSPECTOR.
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 / )J
Service Overhead Size Feeders Conduit
Underground
Type of Installation — Conduit Tubing
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
'APPLICATION FOR ELECTRICAL PERMIT
Permit No /5 1
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinan a 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.
,Ai /Q tea?
o
Amount of Permit $ (Signed)
(Signed)
No Street
No
Block Subdivision
Str
re t_:A..r.. 4 t W
/ cfi
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
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.
Electrical Inspector.
ccepts his . .ligations as an employer of
of Florid. 'ermanent Supplement, and
sub-co ctors employed by him in the
of th Work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
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.
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
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SrACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
1
v
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
�v/ / f
MOTORS
0.1 H P11..5
2'Ar-
MOTORS NEON
HP TRANS. f� RADIO
/ � o 41 a
TOTAL
ST
!
VC1,�-
CHECK
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 / )J
Service Overhead Size Feeders Conduit
Underground
Type of Installation — Conduit Tubing
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
'APPLICATION FOR ELECTRICAL PERMIT
Permit No /5 1
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith ubmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinan a 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.
,Ai /Q tea?
o
Amount of Permit $ (Signed)
(Signed)
No Street
No
Block Subdivision
Str
re t_:A..r.. 4 t W
/ cfi
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Main Sw Amps Main Fuses Amps
B.X.L Metal Moulding
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.
Electrical Inspector.
ccepts his . .ligations as an employer of
of Florid. 'ermanent Supplement, and
sub-co ctors employed by him in the
of th Work such public notice or notices
be performed under this permit, as are
Notary Public, State of Florida
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.
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
Permit No q12
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 - <
1/
New Building..
Amount of Permit $
APPLICATION FOR ELECTRICAL PERM
Registered Architect and /or Engine i
Employing Electrician's Name ii 4 i 4:1•_11.4. N o . _ f ,
Location and Legal Description Lot_____--- -A____ Block 45 Subdivisions!
Street and Number where work is to be performed —No . _ _ //II ___ L. ,� S et too
State work to be performed and purpose of building (B), Floors) 1�c�__
2 Remodeling____ Addition Repairs
1 �/
Service
Overhead Size Feeders Conduit__ .1 __ Main Sw.___ _ Amps. _, __ Main Fuses . Amps.
Type of Installation— Conduit Tubing X 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.
ss.
My Commission Expires
ELECTRICAL INSPECTION DEPARTMENT
No Street___
(Signed) ,' a /1/
4.
Dat¢'�
Notary Public. State of Florida
No. of Stories
(Signed) ` v 5/A,A:13
Master Electrican.
OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P TT'S
FIXTURES
NO. LAMPS
REFRI G.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
//
/ V
/
/ 0
/
/
C)
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
IST
LIST
CHECK
MIAMI SHORES VILLAGE
Permit No q12
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 - <
1/
New Building..
Amount of Permit $
APPLICATION FOR ELECTRICAL PERM
Registered Architect and /or Engine i
Employing Electrician's Name ii 4 i 4:1•_11.4. N o . _ f ,
Location and Legal Description Lot_____--- -A____ Block 45 Subdivisions!
Street and Number where work is to be performed —No . _ _ //II ___ L. ,� S et too
State work to be performed and purpose of building (B), Floors) 1�c�__
2 Remodeling____ Addition Repairs
1 �/
Service
Overhead Size Feeders Conduit__ .1 __ Main Sw.___ _ Amps. _, __ Main Fuses . Amps.
Type of Installation— Conduit Tubing X 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.
ss.
My Commission Expires
ELECTRICAL INSPECTION DEPARTMENT
No Street___
(Signed) ,' a /1/
4.
Dat¢'�
Notary Public. State of Florida
No. of Stories
(Signed) ` v 5/A,A:13
Master Electrican.
OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
451
- c -)
. 0
1 / ■ ' ' i
/ ' `IN ' y■ fl,
,_,
e
4
Permit �No.__ 3 .
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM!
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 s.ecified 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 //^^
Location and Legal Description Lot ,�! /4e,_L_-
_Block !lam /� Subdivision_*-
and Number where work is to be performed —No. 1 $ 3 3� Street too
State work to be performed and purpose of building (By Floors) ��
Addition Repairs No. of Stories
New Building
Amount of Permit $
x
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
My Commission Expires
Remodeling
(Signed)
(Signed
No Street
ea- eza / 'Street-_ 5
Dat
Main Fuses
Notary Public, State of Florida
Service Overhead fin V I d Size Feeders �' Conduit______ Main Sw.___(� Amps.
1 in,i� -
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Master Electrican.
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.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
/
IRON
OUTLET
RANGE
OUTLET
/
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H EATER
/.
STRIP
HEATER
TOTAL
4
CONTR.
LIST sr
( /
/
/ / 6
/ 7
/1 0
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
O
CHECK
Permit �No.__ 3 .
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM!
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 s.ecified 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 //^^
Location and Legal Description Lot ,�! /4e,_L_-
_Block !lam /� Subdivision_*-
and Number where work is to be performed —No. 1 $ 3 3� Street too
State work to be performed and purpose of building (By Floors) ��
Addition Repairs No. of Stories
New Building
Amount of Permit $
x
STATE OF FLORIDA,
COUNTY OF DADE.
SS.
MIAMI SHORES VILLAGE
My Commission Expires
Remodeling
(Signed)
(Signed
No Street
ea- eza / 'Street-_ 5
Dat
Main Fuses
Notary Public, State of Florida
Service Overhead fin V I d Size Feeders �' Conduit______ Main Sw.___(� Amps.
1 in,i� -
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Master Electrican.
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.
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.
THIS CERTIFIES THAT the wiring nd apparatus installed at
by • 4-
for
has been inspected and current is auth
Size of Service
Range —
Power: Connected load
4
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFI6ATE OF INSPECTION
4
PERMIT
No.
Address
owner, and occupied as
Number of Lighting Circuits
watts. Water Heater
t
rized to be turned on, until otherwise notified, for:
H. P. Space Heaters
watts
watts
Other Apparatus
,
ELECTRICAL INSPECTOR.
E LECTRICAL PERMIT A N°
.PLhl•11MB 14. ..
Owner of Builditr
Contractor or Builder_
r
AMOUNT
NAME
1
Architect and /or Engineer,-
RECD. PAYMENT ACCT. DEPT.
937
r
ADDRESS
MIAMI SHORES VILLAGE
BU
LDING INSPECTION DEPARTMENT
4 ' J• '
ADDRESS LICENSE NO.
1
NAME r
■
NAME ! ADDRESS LICENSE NO. --
0. 0 Proposed Location /« / i r - -- — i, _ �! le- e' -
LOT BLOCK SUB - DIVISION
This permit is issued to ----- ------ ----- ----- ----- ---------- --- To ^' "' `k t r t
the building above described, as per application. Plans and Specifications heretofore filed in this office. Thi permit is granted upon the express . condition
that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and z oning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any tim upon the violation of any provisions of said
laws, ordinances or rules and regulations, or upon any change in the plans and specificati unau orizedt
s by t buiding inspector.
1
1
, 19 i
STREET
r
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of alll building laws of the State of Florida, all the
building- ordinances and zoning laws of Miami Shores Village and all rules and regulations of the b department of Miami Shores Village.
t e
of" . '
, t
i. Dated - �- - ` . ; " ` - ' - - 19 - - 4: - -
* (SEAL)
E: A charge of $1.00 will be made for making corrections or changes to this application after a piproval has been obtained from the Planning Board.
A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.