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55 NE 100 St (7)OUTLETS MOTORS RECEPTACLES GENERATOREI STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB BRANCH Basement First FLOOR NUMBER OF 1 SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second (1) .4 \N f <.. c Third f Fourth Other Floors Application is hereby made for issuance of permit for electrical insta inspection of same after installation: Owner Building Contractor Electrical Contractor 6 4 . *Z2" Location of proposed work: Lot Block Subdivision Building: Old or new Number of stories Description of proposed work Details of proposed work: Number of Motors Additional Information Work begun Inspected Work finished APPLICATION FOR ELECTRICAL PERMIT Address (if other than owner or contractor) Signature of Applicant H P Volts aiami Shores9 llage F L 0 R 1 D A (SPACE BELOW FOR INSPECTOR'S USE Final inspection Date \ Address Used as - -� tion as described below, and for Amps Phase �: - ONy."tl 33/ Li) fi 1- so° 193 s' 7 1( , fre � /' y , Inspector MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATICIN FOR ELECTRICAL PERMIT Date____l _ / 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"- Permit No €_ Owners Name and Address Registered Architect and /or Enginee Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Block State work to be performed and purpose of building (By Floors) No Street New Building Remodeling Addition Repairs Street' Street Subdivision_ No. of Stories Service Underground Size Feeders / Conduit '`L____ Main Sw Amps. ______________ Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $___ - -_ ___ = __(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 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. 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 (Signed) �* Notary Public, State of Florida Master Electrican. 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 H EATER STRIP HEATER TOTAL CONTR. LIST ' I lh � b P ddd �' 1 I I / l` i (-- CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATICIN FOR ELECTRICAL PERMIT Date____l _ / 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"- Permit No €_ Owners Name and Address Registered Architect and /or Enginee Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No Block State work to be performed and purpose of building (By Floors) No Street New Building Remodeling Addition Repairs Street' Street Subdivision_ No. of Stories Service Underground Size Feeders / Conduit '`L____ Main Sw Amps. ______________ Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $___ - -_ ___ = __(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 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. 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 (Signed) �* Notary Public, State of Florida Master Electrican. 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 PERMIT Office of Electrical Inspector CERTIFICATE OF INSPECTION r THIS C RTIFIES THAT,the wiring and apparatus installed at by f 4-4.0.0 Address I / for 6-. ' l , r '= x owner, and occupied as °' r has been inspected and current is authorized to be turned on, until otherwise notified, for: 41 , Size of Service Range Power: Connected load H P. Space Heaters watts Other Apparatus Number of Lighting Circuits watts. Water Heater watts No. • - $90 ELECTRICAL INSPECTOR. 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 Contractor or Electrician STREET NO. jhorescillage (∎ FL OR ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LOCATION PART OF LOT LOT BL'K DESCRIPTION OF WORK SUBDIVISION N9 328 T 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 his 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 Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the e of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami •res Village. Dated , 19 (Seal) Outlets Motors Receptacles Generators NO. � ., STREET A` t ti e ! , . drA PART OF LOT LOT BL'K SUBDIVISION `., ' / ,: Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee t. . i` /, ., r) I . 1 / ,: f1P ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. fi r' Owner of Building ` .t� C ra ctor or Electrician `-' 71iami �hores�illage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , // i ' LO CATI O N Dated t DESCRIPTION OF WORK Th is P ermit is grante upon t 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 ipo the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by hpartment. i In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree 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 of Florida, all the Electrical • Ordinances and Codes of Miami Shores Village, and all rules and gt.Ilat is of ie Electrical Department of Miami es Village. * ' r ,. . N° 328 , Electrical Inspector. (Seal)