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ELECTRICAL• ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /G 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. !nom / Owner's Name and Address 1 a / F1:! ' No... .. ' P it✓ �/y � As7 ( ? Registered Architect and /or En ' er n Employing Electrician's Name Q L Location and Legal Description Lot Block Subdivision Z 0 Street and Number where work is to be performed —No 0 ` 2- N , f. 9 / �— Street p 1•0 State work to be performed and purpose of building (By Floors) / .�0i2.... ae2 .. ./V iar e ras New Building Remodeling Addition L / 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 Amount of Permit $ 4 S MIAMI SHORES VILLAGE boa (Signed 1 Date l 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. f ss ' (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 HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. IS T LIST �. CHECK / / ,'F' /.. / J Of• • ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /G 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. !nom / Owner's Name and Address 1 a / F1:! ' No... .. ' P it✓ �/y � As7 ( ? Registered Architect and /or En ' er n Employing Electrician's Name Q L Location and Legal Description Lot Block Subdivision Z 0 Street and Number where work is to be performed —No 0 ` 2- N , f. 9 / �— Street p 1•0 State work to be performed and purpose of building (By Floors) / .�0i2.... ae2 .. ./V iar e ras New Building Remodeling Addition L / 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 Amount of Permit $ 4 S MIAMI SHORES VILLAGE boa (Signed 1 Date l 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. f ss ' (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. NO. )L W /, ,E, STREET PART OF LOT LOT BL'K SUBDIVISION / C'l'' k"/ /C // elci AL :., , Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building . Y, Contractor or Electrician [I. . k . JJ ` f) i pi( fv 1\\r 41iami Shores F L o A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , . (1 19 LO CATI O N N° 417 is 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. ✓, • ` f 1 ,Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , DESCRIPTION OF WORK NUMBER OF ✓ (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION l ; ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician Outlets Motors Receptacles Generators Stoves aiami cShores96llage F L o R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , r 19 LO CATI 0 N DESCRIPTION OF WORK Water Heaters NUMBER OF Signs Billboards Other Apparatus 435 Permit Fee This 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations ofrthe Electrical Department of Miami Shores Village. Dated 19 ". ._. r (Seal) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Buildinp4 z / A` Contractor or Electricia ddliami chores9llage F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 • LO CATI 0 N DESCRIPTION OF WORK T his P ermit is grante upon t express condition that all facts stated in the Application are true an that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. N° 404 `-■• , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Buildinp4 z / A` Contractor or Electricia ddliami chores9llage F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 • LO CATI 0 N DESCRIPTION OF WORK T his P ermit is grante upon t express condition that all facts stated in the Application are true an that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. N° 404 `-■• , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , (Seal) Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee C` t c.. ,,/ _ ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Buildinp4 z / A` Contractor or Electricia ddliami chores9llage F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 • LO CATI 0 N DESCRIPTION OF WORK T his P ermit is grante upon t express condition that all facts stated in the Application are true an that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. N° 404 `-■• , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION -giv N. ®/ k r2- P31 M. S. Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 3 7 49,% N. B. —This Permit must be on display on the premises during the construction. Owner of Building E re E C actor or Electrician /y . of dv, w • ELECTRICAL PERMIT aiami cfhores9llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , U # t ..ZY 19 2, LO CATI 0 N DESCRIPTION OF WORK N N° _ 417 This 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, • �,a p.. any change in the plans and specifications unauthorized by . this Department' ;; 1 , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules regulations of tie Electrical Department of Miami Shores Village. ��jj �/ Dated U U Cam" -]" , 9 (Seal) NNOO..(� STREET OF LOT LOT BL'K SUBDIVISION Signs ��/P�ART ,, Outlets tT : C . Receptacles A f ' 'rs� Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ' ,r / o 7-r ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building ...t' = ' it "-ottor or Electrician Dated d 1 iami Jhores9illa F L O R D A OFFICE OF ELECTRICAL DEPARTMENT idini'Shore.Village, Fla , DESCyRIPTION OF WORK NUMBER OF 7 -2 3 1 LOCATION . cs N° _ 435 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strj.cdy with ie plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time s on the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by tis artment. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agre to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the to of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and ulations o the Electrical Department of Miami ores Village. NO. STREET Receptacles Generators PART OF LOT LOT BL'K . i 1, SyBDIVISION �,� • I5 /0 7,/ /d / � ' • IV —/ ' ' 3 1 Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus,. Permit Fee #2 I .24--e-4 ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Buildin CSactor or Electricia Dated C40.- , 19 Miami cJhores9llage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT * _ r Miami Shores Village, Fla , 19 DESCRIPTION OF WORK LO CATI O N This Permit is granted upon the express condition that all facts stated in the Application are true an that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upo the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specific ons unauthorized by th e partment. f In consideration of the issuance to me of the foregoing Electrical Permit, I here agree to do the proposed lonstruction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Cpdes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. N° 404 • , Electrical Inspector. (Seal) CEILING BRACKETS RECPTACLES SWITCHES STONES WATER HEATERS SIGNS OTHER S BRACKETS MAIN SUBS BRANCHES TENT DORS FIXTURES ONLY NUMBERS OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES TENT ID 1 rM A • S3 BUILDING- -NEW OR OLD (UNDERLINE WHICH) KIND OF INSTALLATION OPEN OR CONCEALED FL BASE FIRST SECO THIR FOUR REMARKS CONTRACTOR BY RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED REMARKS APPLI CATION WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTON VOLTS TOTAL AMPS ADDRESS SPACE BELOW FOR INSPECTOR'S USE ONLY FEE REMITTED DATF PHASF No t C ELECTRICAL DIVISION OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electric Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED LOT NUMBER BLOCK NUMBER ,_i SUBDIVISION STREET AND NUMBER - SIDE t,, OWNER ? - OCCUPANT OCCUPIED As KNOB, RX.. BX.. MLOG.. CONDUIT, METALLIC TUBING INSPECTION WANTED N INSPECTED INSPECTOR OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB BRANCH CONCEAL'D Basement First � i� FLOOR NUMBER OF SIZES OF INSULATION WPIPIIMPOWN NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH CONCEAL'D Basement First � i� �� �' Second Third Fourth Other Floors APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: f Date r k V 193 Owner A e L i f n 0 eV eel Address f , 1, Building Contractor Details of proposed work: Number of Mot Additional Information (,*"" Electrical Contractor 'Oe ver701 Location of proposed work: Lot , / Block %) Subdivision " Building: Old or new Number of stories Description of proposed work c ' H P aiami cShores llage F L O R ID A r `—" Volts {f '' Used as A mps Signature of Applicant Address (if other than owner or contractor) , 7 ��- V-= t * �-� Phase ti SPACE BELOW FOR INSPECTOR'S USE� N Y) " !FJ for 1-27e' ''� Work begun Inspected Work finished Final inspection (P:2-12 r ,. , Inspector a .c % ift for MIAMI SHORES VILLAGE PERMIT No. , ;C Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by r r' / ' + . idikow Address owner, and occupied as + f p has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service x L ' Number of Lighting Circuits ..4' Range et:[ f , ,,, watts. Water Heater 1 watts Power: Connected load X H P. Space Heaters A watts Other Apparatus )( • ELECTRICAL INSPECTOR. FLOORS FIXTURES ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES BASEMENT ---7_----- / Z./ - FIRST SECOND THIRD FOURTH A -S3 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED. ')----A LOT NUMBER) t t#*" 1 , 49 .j /0 BLOCK NUMBEI: SUBDIVISION ° m) � A /, ,F ,� C` / � �, /r < , - tji STREET AND"IMIIER or �� SIDE OWNER OCCUPANT ' "' " ' ' f✓ OCCUPIED As BUILDING- -NEW OR OLD (UNDERLINE WHICH) H. P. OF EACH MOTOR VOLTS- TOTAL AMPS PHASF CEILING REMARKS BRACKETS MASTER ELECTRICIAN RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN RECEPTACLES ROUGH WIRING FINAL No CORRECTED TEMPORARY DAYS. DATE ISSUED APPLICATION ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. SWITCHES REMARKS • SPECIFICATIONS STOVES WATER HEATERS INSPECTED DATE SIGNS SPACE BELOW FOR INSPECTOR'S USE ONLY NO `-, 3 WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR r I � It INSPECTION WANTED BY ADDRESS OTHER APPARATUS KIND OF INSTALLATION OPEN OR CONCEALED KNOB. RX.. BX.. MLDG.. CONDUIT. METALLIC TUBING W FEE REMITTED INSPECTOR