514 NE 101 St (6)Permit No
Owner's Name and Address
Registered Architect and /or Eng:tleer
Employing Electricia6's Name
Location and Legal Description Lot
Service Overhead
Ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Block
(Signed)
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:lda,
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 k at
building during progress of work.
No .c57 Street " t
r
/ tree
u b.
ubdlvision
Street and Number where work is to be performed—No ..........
..1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Underground Size Feeders Conduit Main Sw Amps Main Fuses . Amps
Type of Installation--Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida E
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.
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
therein by him stated are true.
ctrical Inspector.
ions as an employer of
manent Supplement, and
Master Electrician.
STATE OF FLORIDA, l
COUNTY OP DADE. ! j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,
appeared
personally
same, and that all facts
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•7•8
FIXTURES
No. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
lv�l
TOTAL
CONTR.
LIST
CHECK
S
_
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS NEON
TRANS.
1.5 HP TRANS.
T17-7/5g
`
RADIO
TOTAL.
CONTR.
LIST
.
CHECK
.'
Permit No
Owner's Name and Address
Registered Architect and /or Eng:tleer
Employing Electricia6's Name
Location and Legal Description Lot
Service Overhead
Ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Block
(Signed)
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:lda,
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 k at
building during progress of work.
No .c57 Street " t
r
/ tree
u b.
ubdlvision
Street and Number where work is to be performed—No ..........
..1
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Underground Size Feeders Conduit Main Sw Amps Main Fuses . Amps
Type of Installation--Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida E
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.
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
therein by him stated are true.
ctrical Inspector.
ions as an employer of
manent Supplement, and
Master Electrician.
STATE OF FLORIDA, l
COUNTY OP DADE. ! j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,
appeared
personally
same, and that all facts
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.
.0) /11 MIAMI SHORES VILLA-3E
ELECTRICAL INSPECTION DEPARTMEI
APPLICATION FOR ELECTRICAL F-RMIT
Permit No.__ (? •
Application is hereby made for the approval of the detailed statement of the plans and specifications herewithubmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance c 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 regl. of the Building Division
of Miami Shores Village shall be complied wth, wheth herein specified or not. A copy of approved plans and sec must be kept at
building during progress of work.
Owner's Name and Address________
Registered Architect and /or Engirieer__
Employing Electrician's Name__
}
ss.
Street and Number where work is to be performed —No. —
State work to be performed and purpose of building (By Floors)
No Street
Location and Legal Description Lot___ _� -___ / Block 9C Subdivision
No G <0` e / d / street
New Building ____lc':____ ___Remodeling Addition___ Repairs
Overhead V
Service Underground Size Feeders
Conduit__ _1 M a i n Sw._" .. a Amps Main Fuses — __ _Amps
Type of Installation — Conduit_ Tubing Y- - - - _ B.X.L.__ —__ Metal Moulding
(Signed)
Dat. / a 7— c --
c.<
No. of Stories_____
Amount of Permit (Signed)_ 4
• Electrical Inspector.
The undersigned applicant for this building permit does hereby certify tht understands and accepts his y gations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, piled General Laws of Florida 'ermanent 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 nder -`this permit, as are
licensed by Miami Shores Village. / /
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly a uthorized 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
H EATER
TOTAL
R.
CONT LIST
� j
L1
/
t 3
_L._
- 1---
/
j________
CHECK
ENT.
SW.',
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
.0) /11 MIAMI SHORES VILLA-3E
ELECTRICAL INSPECTION DEPARTMEI
APPLICATION FOR ELECTRICAL F-RMIT
Permit No.__ (? •
Application is hereby made for the approval of the detailed statement of the plans and specifications herewithubmitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance c 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 regl. of the Building Division
of Miami Shores Village shall be complied wth, wheth herein specified or not. A copy of approved plans and sec must be kept at
building during progress of work.
Owner's Name and Address________
Registered Architect and /or Engirieer__
Employing Electrician's Name__
}
ss.
Street and Number where work is to be performed —No. —
State work to be performed and purpose of building (By Floors)
No Street
Location and Legal Description Lot___ _� -___ / Block 9C Subdivision
No G <0` e / d / street
New Building ____lc':____ ___Remodeling Addition___ Repairs
Overhead V
Service Underground Size Feeders
Conduit__ _1 M a i n Sw._" .. a Amps Main Fuses — __ _Amps
Type of Installation — Conduit_ Tubing Y- - - - _ B.X.L.__ —__ Metal Moulding
(Signed)
Dat. / a 7— c --
c.<
No. of Stories_____
Amount of Permit (Signed)_ 4
• Electrical Inspector.
The undersigned applicant for this building permit does hereby certify tht understands and accepts his y gations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, piled General Laws of Florida 'ermanent 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 nder -`this permit, as are
licensed by Miami Shores Village. / /
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly a uthorized 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.