1401 NE 101 StRegistered Architect and /or Engineer
Employing Electrician's Name ... l. ..f _/i / /.
Location and Legal Description Lot 4�
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
° � APPLICATION FOR ELECTRICAL PERMIT
Permit No /i ( Date 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. / �/ / �/ r p
Owner's Name and Address L7('kL t O..A.l� No....�I ( Street... /V..C.� /0./
No. 7/2 StreetS 6 11�?� Z e
Subdivision L / err t:
Street and Number where work is to be performed —No //g0 e Str � eett (� e- ! /o / � I
State work to be performed and purpose of building (By Floors) ..K/(.P' /."`.p TOE (� 0.4 r'! �- reS /04 71 / _
New Building Remodeling Addition Repairs No. of Stories
Block
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P P
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ ' (Signed) !ti/i� �^ P e � ` t ✓ C
lectrica1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig/a ' ns as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P' anent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I °''
(Signed
0 c
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re'inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
O UTLETS
PLUG
RECE'P'T'S
FIXTURES
N O. LAMPS
REFRIO.
O UTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. H EAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS M OTORS
01 HP 1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONT ST
'/ ? e t ,Q
CHECK
/ r .
Registered Architect and /or Engineer
Employing Electrician's Name ... l. ..f _/i / /.
Location and Legal Description Lot 4�
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
° � APPLICATION FOR ELECTRICAL PERMIT
Permit No /i ( Date 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. / �/ / �/ r p
Owner's Name and Address L7('kL t O..A.l� No....�I ( Street... /V..C.� /0./
No. 7/2 StreetS 6 11�?� Z e
Subdivision L / err t:
Street and Number where work is to be performed —No //g0 e Str � eett (� e- ! /o / � I
State work to be performed and purpose of building (By Floors) ..K/(.P' /."`.p TOE (� 0.4 r'! �- reS /04 71 / _
New Building Remodeling Addition Repairs No. of Stories
Block
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P P
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ ' (Signed) !ti/i� �^ P e � ` t ✓ C
lectrica1 Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig/a ' ns as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P' anent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. I °''
(Signed
0 c
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re'inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
!�
ONTR.
LIST
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
• a -
TOTAL
'3 7.
25
7
MOTORS
0.1 HP
.3.
/r
rAt�
J�
T,
� AS.
SERVICE
TEMP.
`5042
SERVICE
PERM.
/eV
•
1,-,
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
?CHECK
..,
AO
E N
SW.
T
7 4411---
LO.
/at
y//'
150
-7
-
Permit No 1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date....! X-13 ....�( 7
f
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 spec d 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
Amount of Permit $
41 E0 4
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors) '
�.. New Building Remodeling Addition
/ [s ervice Overhead Size Feeders Conduit
e JJ `_�7 Undround ype of Insta — Conduit Tubing B.X.L
Block
•
No Street
(Signed).
(Signed)
STATE OF FLORIDA, y
COUNTY OP DADE
Before me, the undersigned authority, a notary public, duly authorized
o Street
r ea..
Repairs No. of Stories
Subdivision
Street ATE.
Master Electrician.
Main Sw Amps Main Fuses Amps
Metal Moulding. 1
Electncal Inspec r.
nds and accepts his obligations as a p oyer of
eral Laws of Florida Permanent S.pplement, and
ontractors or subcontractors employed by him in the
ection on the site of the work such public notice or notices
The undersigned applicant for this building permit does hereby certify that
labor under the Florida Workmen's Compensation Act, being Section 5966,
has complied with the provisions thereof, and will require similar compliance
work to be performed under this permit; and will post or cause to be posted for
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 abo' a 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.