1480 NE 101 St (10)Permit No.. .d 5 C
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, 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. Qq
Owner's Name and Address.,- ..��C� No. /fr Street_.r?! � /1T'
Registered Architect and /or Engineer c�11 //
Employing Electrician's Name.'" f // 0 7 e'ev' 'J • No..l ' ' Street, 4 ' T C
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No /✓#°'e , p j . " " Street
State work to be performed and purpose of building (By Floors) !''/ ' - �Tb ri L - 1JPrfoT /j ��c/ ! ✓t',m!'
New Building Remodeling Addition
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 i (Signed)
My Commission Expires
(Signed)
No. of Stories
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h u 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
STATE OF FLORIDA, l
COUNTY OF DADE. j as.
Before me, the undersigned authority, a notary public, duly authorised 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
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
NEATER
W. HEAT.
CONN.
SPACE
NEATER
STRIP
H
TOTAL
CONTR.
LIST ST
/ L
, ,.�
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS NEON
1.5 HP TRANS.
RADIO
TOTAL
CONTR.
LIST
/4 /C.G'otiA.
/ .
�/
CHECK
. .. /r7.1
Permit No.. .d 5 C
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, 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. Qq
Owner's Name and Address.,- ..��C� No. /fr Street_.r?! � /1T'
Registered Architect and /or Engineer c�11 //
Employing Electrician's Name.'" f // 0 7 e'ev' 'J • No..l ' ' Street, 4 ' T C
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No /✓#°'e , p j . " " Street
State work to be performed and purpose of building (By Floors) !''/ ' - �Tb ri L - 1JPrfoT /j ��c/ ! ✓t',m!'
New Building Remodeling Addition
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 i (Signed)
My Commission Expires
(Signed)
No. of Stories
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts h u 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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
STATE OF FLORIDA, l
COUNTY OF DADE. j as.
Before me, the undersigned authority, a notary public, duly authorised 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.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No / 0 `l' Date 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, Fiurida,
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 wor . ///� / /
Owner's Name and Addres x. �.�� Nome ' Street / Of
Registered Architect and /or Engineer
Employing Electrician's Name..l4fiey3'Yfl4(4r.L".* �Q No 7� .. , i Street... , 4e-
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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ ' <<f.1 X. .
(Signed)
MIAMI SHORES VILLAGE
Electric ns p ector. •
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .bli .tions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid • ' ermanent 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.
STATE OF FLORIDA,
COUNTY OF DADE. I sa.
(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 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
H EATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
'7 � 2
Y�
M OTORS
0.1 HP
MOTORS
_1•S NP
N EON
TRANS.
RADIO
TOTAL
CONTR. IS/
LIST
/ i
,% _
�
CHECK
(...4
+,. Z,
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No / 0 `l' Date 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, Fiurida,
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 wor . ///� / /
Owner's Name and Addres x. �.�� Nome ' Street / Of
Registered Architect and /or Engineer
Employing Electrician's Name..l4fiey3'Yfl4(4r.L".* �Q No 7� .. , i Street... , 4e-
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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground P
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ ' <<f.1 X. .
(Signed)
MIAMI SHORES VILLAGE
Electric ns p ector. •
The undersigned applicant for this building permit does hereby certify that he understands and accepts his .bli .tions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid • ' ermanent 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.
STATE OF FLORIDA,
COUNTY OF DADE. I sa.
(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 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 SHOR VILLAGE
�j ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/1/ /4"
/// " 7
Permit No 93-0
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE. ss.
Application is hereby made for the approval of the detailed statement of t
structure herein described. This application is made in compliance and confo
and all provisions of the Laws of the State of Florida, all ordinances of Miami S
of Miami Shores Village shall be complied with, whether herein specified or not.
building during progress of work.
Owner's Name and Address.. /fr'r' '' ems g Al l e K74 N
Registered Architect and /or Engineer %
Employing Electrician's Name No
Street and Number where work is to be performed —No
rules and regulations of
approved plans and specifica
fea
Kg /o / - S,'—
Street.
(Signed)
Date
Street
(Signed).
plans and specifications herewith submitted for the building or other
ity with the Buildin
res Villag_a
copy '
Street
Block Subdivision
/a J
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
304¢ 2 /°
Service Underground Size Feeders 48 Conduit Main Sw r Amps 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
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 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.
hores Village, Florida,
e Building Division
ons must be kept at
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
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
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
..***. J O
CHECK
-
-
•.-= MIAMI SHOR VILLAGE
�j ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/1/ /4"
/// " 7
Permit No 93-0
Location and Legal Description Lot
Amount of Permit $
STATE OF FLORIDA, I
COUNTY OF DADE. ss.
Application is hereby made for the approval of the detailed statement of t
structure herein described. This application is made in compliance and confo
and all provisions of the Laws of the State of Florida, all ordinances of Miami S
of Miami Shores Village shall be complied with, whether herein specified or not.
building during progress of work.
Owner's Name and Address.. /fr'r' '' ems g Al l e K74 N
Registered Architect and /or Engineer %
Employing Electrician's Name No
Street and Number where work is to be performed —No
rules and regulations of
approved plans and specifica
fea
Kg /o / - S,'—
Street.
(Signed)
Date
Street
(Signed).
plans and specifications herewith submitted for the building or other
ity with the Buildin
res Villag_a
copy '
Street
Block Subdivision
/a J
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
304¢ 2 /°
Service Underground Size Feeders 48 Conduit Main Sw r Amps 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
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 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.
hores Village, Florida,
e Building Division
ons must be kept at
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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /6 2 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. / Y � � "rfr k t - C
J No /
Registered Architect and /or Engineer
/
4 J
Employing Electrician's Name i a F 4 €r � e- / / O e.... / f..� Street P W 4
Location and Legal Description Lot // Ar , / Y Block / Subdivision
Street and Number where work is to be performed —No / 0 Street Ar€,--
State work to be perfor and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service ergroun Size Feeders
Type of Tnstallation— Conduit
Amount of Permit $
, STATE OF FLORIDA, 1
COUNTY OF DADE: I
S S.
Date
Street Al 2 / ® / '-/
Conduit Main Sw 1i' Amps Main Fuses 0 Amps
Tubing ✓ B.X.L Metal Moulding
(Signed)
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(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 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. LA S
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
_
/ I ''
57
3 ®
/
/ (7
/
J O
/
� `
/
..00
7 3-,
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
•
/
°
CHECK
ice'
per
/ v
.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No /6 2 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. / Y � � "rfr k t - C
J No /
Registered Architect and /or Engineer
/
4 J
Employing Electrician's Name i a F 4 €r � e- / / O e.... / f..� Street P W 4
Location and Legal Description Lot // Ar , / Y Block / Subdivision
Street and Number where work is to be performed —No / 0 Street Ar€,--
State work to be perfor and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service ergroun Size Feeders
Type of Tnstallation— Conduit
Amount of Permit $
, STATE OF FLORIDA, 1
COUNTY OF DADE: I
S S.
Date
Street Al 2 / ® / '-/
Conduit Main Sw 1i' Amps Main Fuses 0 Amps
Tubing ✓ B.X.L Metal Moulding
(Signed)
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(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 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.
Permit No
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 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 ✓ U C .g-fe L.2 V ? No./ V/
Registered Architect and /or Engineer
Employing Electrician's Name.. /. e I /
C 11 e.v cl Q�
Location and Legal Description Lot ' 1/ e- 7 f`(t Block
Street and Number where work is to be performed— No...._......1..7.....
STATE OF FLORIDA, 1
COUNTY OF DADE: I
Servicer'""�G -,Size Feeders
Underground
Type of Installation—Conduit.
Amount of Permit $
58.
MIAMI SHORES VILLAGE
(Signed)
Date
No fZ J ! y (V Street.
L?...
t Subdivision. /YM «/ `r ,40 re J
Street i / v /
Street /VI / o /
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
//
Conduit.. Main Sw. /DO Amps Main Fuses... °C Amps
Tubing B.X.L Metal Moulding
(Signed)
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
c9jVl'
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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
r�G / ..t_ L` �� ! /
- c am
�J 7
�"/� r
/
1 00
/
/
7 Y-'
•' /
�[ r
.�'0
CHECK
I/' .V'
; r)
ENT.
. SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
/ QQ /
/
.
f .. /r`�
/ V h
MOTORS
.N.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ .
1
/
;'
CHECK
/ mt)
/61 6
/
/Sc.)
itSt
Permit No
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 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 ✓ U C .g-fe L.2 V ? No./ V/
Registered Architect and /or Engineer
Employing Electrician's Name.. /. e I /
C 11 e.v cl Q�
Location and Legal Description Lot ' 1/ e- 7 f`(t Block
Street and Number where work is to be performed— No...._......1..7.....
STATE OF FLORIDA, 1
COUNTY OF DADE: I
Servicer'""�G -,Size Feeders
Underground
Type of Installation—Conduit.
Amount of Permit $
58.
MIAMI SHORES VILLAGE
(Signed)
Date
No fZ J ! y (V Street.
L?...
t Subdivision. /YM «/ `r ,40 re J
Street i / v /
Street /VI / o /
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
//
Conduit.. Main Sw. /DO Amps Main Fuses... °C Amps
Tubing B.X.L Metal Moulding
(Signed)
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 subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
c9jVl'
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.