54 NE 101 St (4)Permit No
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, 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. 17 1 � Owner's Name and Address I No 1 Street ! � t / , /
Registered Architect and /or er
Employing Electrician's Name / No ? .. W Street >(�ri/ ...
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
Amount of Permit $
ss.
My Commission Expires
Service Overhead Amps
Size Feeders Conduit Main Sw Amps Main Fuses Am
Underground P P
Type of Instal .nduit. 04 Tubing. B.X.L Metal Mouldi g.
fig / O`H / / / r
(Signed) '— d
Ele ` al Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio :s an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm. t Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors .loyed 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 su 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.
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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.
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.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
/ '
•
MOTORS
O.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
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, 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. 17 1 � Owner's Name and Address I No 1 Street ! � t / , /
Registered Architect and /or er
Employing Electrician's Name / No ? .. W Street >(�ri/ ...
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
Amount of Permit $
ss.
My Commission Expires
Service Overhead Amps
Size Feeders Conduit Main Sw Amps Main Fuses Am
Underground P P
Type of Instal .nduit. 04 Tubing. B.X.L Metal Mouldi g.
fig / O`H / / / r
(Signed) '— d
Ele ` al Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio :s an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm. t Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors .loyed 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 su 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.
Master Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
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.
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.
FOR PERMIT TO FUMIGATE WITH CYANIDE
APPLICATION NO.
1. Location of building to be fumigated
2. Name and address of owner of premises
APPLICATION
E. B. Tot*
loft
9. In what manner will vents to exterior of building be sealed?
Nylon tent
9� 9s
VIKANE X
METHYL BROMIDE ACRITET
19 6.7
54 N. E. 101 Street, Miami Shores
3. Type, size and construction of building CBS - Residan e
4. Is entire building to be fumigaieuf Yes
5. If not, state what portion
6. Approximate number of cubic feet of space in building or in portion to be fumigated.
18 499
7. Kind and quantity of fumigant to be used and manner of application and length of fumigation period
Vikane Approx 20 hours
8. Distance of nearest building and direction from building to be fumigated
10. Date whem fumigation will be begun April, 14, 1967 Time 10:00 A.M.
11. It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post
suitable placards at each entrance into the building bearing the following words in letters at least two inches
by one inch in size: "DANGER" - THIS BUILDING UNDER FUMIGATION WITH A DEADLY GAS."
12. It is hereby agreed to make such provisions that all openings into the building may be opened from the outside
after the period of fumigation is over and to take such other precautions as may be necessary to insure that all
of the fumigant is removed from the building before anyone is permitted to enter.
13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation.
FIRM NAME: TRULY NOLEN, INC.
600 N. W. 7th Avenue
Miami 36, Florida
t contr
/AL.
(Signaturej•f certified p
of this f igation job.)
r• or in charg
MIAMI SHORES VILLAGE, FLORIDA 4. 24
Date— 19
PLUMBING ❑ PERMIT N° 8678
ROOFING ❑
BUILDING ❑
ELECTRICAL If-
Owner of
Building 1 i r
Architect
Contractor )114 «s°
or Builder
Legal Lot
Description 11 BI
Building
Address of 1 ;
CONTRACTOR or BUILDER
Contractor's
License No.
s
Work to be performed under this Permit
ft .
BY AUTHORITY
Subdi-
vision
Sq Ft
Value of I I Amount of 2
Project $ (I Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, ser ants -o emplo ees.
Bois.:- l
Signed ` f �» (INSPECTOR) BY
In consideration of the issuance to me of this permit I agr to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawin s, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work doily's by either, myself, my agent, servant or employee.
Permit No
• •
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date July 13." 1 59
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 M'S Christian Tait No 54 NS 101" St Street
Registered Architect and /or Engineer
Employing Electrician's Name..11MIS...0....WAGNIKEL. ._. I..('Ctrie No
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 64 I • R.101 "$t
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition/,
Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Service Overhead Size Feeders
Underground
Amount of Permit $
The undersigned applicant for this building permit does hereby certify that he understands and acre
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General _Laws of
has complied with the provisions thereof, and will require similar compliance from all contractors or s
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub•contr•ctors
licensed by Miami Shores Village.
STATE OP FLORIDA, l
COUNTY OP DADE. I
65.
(Signed)
(Sign
993Q Street ..rY.ltr.... "41,ve
Repairs No. of Stories
E1ect)'cal Inspector.
his obligations as an employer of
Floriday Permanent Supplement, and
b•contiaaors employed by him in the
f the work such public notice or notices
work to be performed under this permit, as are
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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
D18T.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O. HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
L1sT
100
from 60
k
CHECK
l• Ct9
�,1 -0 /�
Y
Permit No
• •
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date July 13." 1 59
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the-building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved-plans and specifications must be kept at
building during progress of work.
Owner's Name and Address M'S Christian Tait No 54 NS 101" St Street
Registered Architect and /or Engineer
Employing Electrician's Name..11MIS...0....WAGNIKEL. ._. I..('Ctrie No
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 64 I • R.101 "$t
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition/,
Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Service Overhead Size Feeders
Underground
Amount of Permit $
The undersigned applicant for this building permit does hereby certify that he understands and acre
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General _Laws of
has complied with the provisions thereof, and will require similar compliance from all contractors or s
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such sub•contr•ctors
licensed by Miami Shores Village.
STATE OP FLORIDA, l
COUNTY OP DADE. I
65.
(Signed)
(Sign
993Q Street ..rY.ltr.... "41,ve
Repairs No. of Stories
E1ect)'cal Inspector.
his obligations as an employer of
Floriday Permanent Supplement, and
b•contiaaors employed by him in the
f the work such public notice or notices
work to be performed under this permit, as are
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.
iILDING
.ECTRICAL
LUMBING
',PERMIT N° 8938
Work to be performed under this Permit
Owner of /
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE - `' d 194_
}w .
Contractor's
License No.
Legal Lot Bl. Subdi-
Description vision
Address of / Value of Amt. of '
Building Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawins or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed: By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
Permit
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 sultmitted 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 –` — C%? t� o.__
Registered Architect and /or Engineer ________–
Employing Electrician's Name ' / �?.�� No. �c
Location and Legal Description Lot _Block
Street and Number where work is to be performed —No
Service Overhead Size Feeders Conduit Main Sw. ,____ Amps.
Underground
Street___
Subdiviision__________
Street__f_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $__
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
(Signed)
Main Fuses__
Notary Public, State of Florida
Street__e
No. of Stories____________
Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h derstands and accepts bis oblfions 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, n work to be erformed under this permit, as are
licensed by Miami Shores Village.
Master EYectrican.
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 be 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL.
CONTR.
LIST
��/!�"
2
�
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit
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 sultmitted 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 –` — C%? t� o.__
Registered Architect and /or Engineer ________–
Employing Electrician's Name ' / �?.�� No. �c
Location and Legal Description Lot _Block
Street and Number where work is to be performed —No
Service Overhead Size Feeders Conduit Main Sw. ,____ Amps.
Underground
Street___
Subdiviision__________
Street__f_
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition.. Repairs
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $__
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
(Signed)
Main Fuses__
Notary Public, State of Florida
Street__e
No. of Stories____________
Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that h derstands and accepts bis oblfions 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, n work to be erformed under this permit, as are
licensed by Miami Shores Village.
Master EYectrican.
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 be 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.
1..
THIS C RTIFIES THAT the wiring and apparatus installed at / /t k*
•
by " " ' r °'`:wG
for oil .., " ...
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service
Range ? f ` (:
Other Apparatus
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
Address
owner, and occupied as
Number of Lighting Circuits
watts. Water Heater X
• PERMIT
No. Arli/__
,' s r
ELECTRICAL INSPECTOR.
watts
Power: Connected load z` H P Space Heaters watts
OUTLETS
MOTORS
RECEPTACLES
GENERATORS
STOVES
WATER H'TERB
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
SUB
BRANCH
Basement
First
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
Second
/0
o �.
-
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:
Owner
Building C tracd6r
Electrical Contractor
Location of proposed work: Lotha lvy Block 140 Subdivision
Details of proposed work:
Number of Motors H P
Signature of Applican
frAe vRIA L
iami cfhoresn illage
F L O A I D A
Address
'4
Volts Amps
v
S
Building: '6'tc tr new Number of stories Used as
Description of proposed work
Phase
Additional Information
:ncQ
Address (if other than owner or contractor)
(SPACE BELOW FOR INSPECTOR'S USE ONLY),
Work finished Final inspection / 1
Work begun Inspected
�A1
spector
t
otors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
M A / ';
0/ ...."'"''•■•
a !clan
y/
CAL PERMIT
/be on display on the premises dt ing
construction.
LOT
vf /et
STREET
0
, 19
aiami chores9llage
F L O & ID A
OFFICE OF ELECTRICAL DEPARTMENT
3 f
Miami Shores Village, Fla , / �
LO CATI O N
PART OF LOT
NUMBER OF
0437
BL'K
NE,r 6 j0
DESCRIPTION OF WORK
/ a �
SUBDIVISION
N° 541
it is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
I i fications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
V illage and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may e revoked at any time
n of any provisions of said laws, ordinances, or rules and regulations, or upon any s ange i - e plans . nd spec cations unauthorized by
, Electrical Inspector.
!eration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
and the plans and specifications thereof heretofore by me submitted, and in c.mpliance with all provisions of all Electrical Laws of the
all the Electrical Ordinances and Codes of Miami Shores Village, and all les and regulations of the Electrical Department of Miami
(Seal)
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
,LICAL PERMIT
ust be on display on the premises during
the construction.
f f
41 • i
P r.
STREET
d
tit
1 trician
aiami chores 9' llage
F L O A ID A
OFFICE OF ELECTRICAL DEPARTMENT
"J f,
Miami Shores Village, Fla , '. . f 19
LO CATI 0 N
N° 541
PART OF LOT
oto
r
LOT
BL'K
DESCRIPTION OF WORK
NUMBER OF
9
SUBDIVISION
ermit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
pecifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
,es Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
tion of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
nt.
, 19 t
{
,r
e.
insideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
,,tion and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
rida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
i lage.
ated
Electrical Inspector.
r
_.4,1 (Seal)