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205 NE 101 St (12)Permit No 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 of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fite :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 wo //��'n �] R Owner's Name and Address. ... [ ( 1:1 No Street Registered Architect and /or Engineer yy,, Employing Electrician's Name45:���4.>.4�✓49. , ? ,5 K Location and Legal Description Lot Block Street and Number where work is to be performed —No 42OS A) 4 State work to be performed and purpose of building (By Floors) e e" .&JO" No 5 S e New Building .x Remodeling Addition 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 LUSTALLL Ff1,F61A1? fitAgm t ...l vlirceNl,. 6 /e. Amount of Permit $.. (Signed). (Signed) STATE OF FLORIDA, COUNTY OF DADE. f es. Before me, the undersigned authority, a notary public, duly authorized The undersigned applicant for this building permit does hereby certify that he understands labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General has complied with the provisions thereof, and will require similar compliance from all contr work to be performed under this permit; and will post or cause to be posted for inspectio11 as are required by the Act. The undersigned agrees to employ only such subcontractors, w . licensed by Miami Shores Village. tikkA 13) to administer appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, and he has carefully read the foregoing application, and that he therein by him stated are true. Date "' f Street Street VC/ S7: Subdivision / A/ Sr. Electrical Inspector. and accepts his obligations as an employer of Laws of Florida Permanent Supplement, and rs or s contractors employed by him in the to e work su public notice or notices performed der this permit, as are Muter Electrician. oaths and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of 51.00 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 REIRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. Q�anQ F �W rNI n / M OTORS T0 CAI& 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No 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 of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fite :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 wo //��'n �] R Owner's Name and Address. ... [ ( 1:1 No Street Registered Architect and /or Engineer yy,, Employing Electrician's Name45:���4.>.4�✓49. , ? ,5 K Location and Legal Description Lot Block Street and Number where work is to be performed —No 42OS A) 4 State work to be performed and purpose of building (By Floors) e e" .&JO" No 5 S e New Building .x Remodeling Addition 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 LUSTALLL Ff1,F61A1? fitAgm t ...l vlirceNl,. 6 /e. Amount of Permit $.. (Signed). (Signed) STATE OF FLORIDA, COUNTY OF DADE. f es. Before me, the undersigned authority, a notary public, duly authorized The undersigned applicant for this building permit does hereby certify that he understands labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General has complied with the provisions thereof, and will require similar compliance from all contr work to be performed under this permit; and will post or cause to be posted for inspectio11 as are required by the Act. The undersigned agrees to employ only such subcontractors, w . licensed by Miami Shores Village. tikkA 13) to administer appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, and he has carefully read the foregoing application, and that he therein by him stated are true. Date "' f Street Street VC/ S7: Subdivision / A/ Sr. Electrical Inspector. and accepts his obligations as an employer of Laws of Florida Permanent Supplement, and rs or s contractors employed by him in the to e work su public notice or notices performed der this permit, as are Muter Electrician. oaths and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of 51.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.