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253 NE 100 St (11)Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed—No. ...s /y£_ Zoe State work to be performed and purpose of building (By Floors) / (7.r9- 71 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No V2A Date Street 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. Ownei I s Name and Address �,r' No - -f We Street /0" ST Registered Architect and /or Engineer 4/4/� �Le-c7e /c ..Ti ✓c . No �o . 7S Street L v440. ,7 7 , ;9 Subdivision New Building Remodeling x Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I ss' Main Sw Amps. ./510 Main Fuses Amps B.X.L Metal Moulding (Signed) (Signed).. / �' ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ions as 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 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. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. hi- C - / O -, MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 3ro/v Sings CHECK Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed—No. ...s /y£_ Zoe State work to be performed and purpose of building (By Floors) / (7.r9- 71 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No V2A Date Street 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. Ownei I s Name and Address �,r' No - -f We Street /0" ST Registered Architect and /or Engineer 4/4/� �Le-c7e /c ..Ti ✓c . No �o . 7S Street L v440. ,7 7 , ;9 Subdivision New Building Remodeling x Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I ss' Main Sw Amps. ./510 Main Fuses Amps B.X.L Metal Moulding (Signed) (Signed).. / �' ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' ions as 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 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. 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor i or Builder ' tt. Legal Lot Description Address of K , �. Building XI PERMIT N° 9196 n Wor to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE r Bl. Subdi- vision Value of Project $ Contractor's License No r Amt. of Permit BY AUTHORITY This permit is granted to the contractor or builder named above to co truct the building or to install the equipment or device des ed in the application herefor in strict compliance with all ordinances pertaining thereto and with a understanding that the work will be performed in co liance with any plans, drawings, statements or specifications that may have been submitted to and a proved 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 pla>ls ate changed without authorization. A further conditioq upon which this permit is granted is the understanding that the contractor or builder named above asspmes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or draw ngs; or in the statements or specifications and that he ssumes responsibility for work done by his agents, servants or employees.:' ^°"""A'" """ 1V ! INSPECTOR ? In Consideration of the issuance to me of this permit.,„a ree erform the work covered hereunder in compliance with all ordinances and regulations pertain' thereto and in strict conformity with the plans, draw statements or specifications submitted to the proper authorities of Miami Shores Village. In acce g this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. C..... S SWITCH L LIGHT P PLUG F FIXTURES R REFRIO. I IRON R RANGE R RANGE W WATER W W. HEAT. S SPACE S STRIP TOTAL q . . '�{f a 415, e S APPLICATION FOR ELECTRICAL PERMIT Date__ ' Permit No ______ Application is structure here and all provisio of Miami Sho building durin Owner's Name and Address ress of work. Street and Number where work is to be performed —No Z- -6tate work to be performed and purpose of building (By Floors) ervice • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT e fot* the approval detailed statement of the plans and specifications herewith submitted for the building or other ed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, e Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division age shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at Overhead // 11—' f/) Underground Size Feeders___ Conduit ___ Main Sw. _.._- t Amps. Type of Installation— Conduit Tubing t __ B.X.L _____.Metal Moulding Amount of Permit $ (Sig0) No. Street Registered Architect and /or Engineer .. Employing Electrician's Name ______ __ Location and Legal Description Lot / e. , ' Block ___ _ Subdivision___— __:__._ W ___ Street Tew Building v Remodeling Addition.. Repairs —___ No. of Stories The undersigned app cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Work n'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) Master Electrican. Street__ C ain Fuses ____Amps. Electrical Zctor. STATE OF FLORIDA, COUNTY OF DADE. 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 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.