561 NE 101 St (10)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
v
MIAMI SHORES VILLAGE, FLORIDA
DATE ` ,7 194-
PERMIT N° 6568
(-/j Lt. cJ
Bl.
Address of `-
Building ► i ,
Work to be performed under this Permit
Subdi-
vision
Value of
Project
BY
Contractor's
License No.
Amt. of
Permit
This permit is granted to the contractor or bui der named above to construct the building or to install the equipment or dev ce 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 responsi iffy for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or dra ings or in the Ca ments or specifications d that he assumes respon-
sibility for work done by his agents, servants or employees. �; '
_ )
Signed 1 tfi (s -� -�' B INS f ' 9 J /iJ/
C OR
In consideration of the issuance to me of this permit I agree to perfo the work covered hereunder in compliance with all ordinances and rea ons)
pertaining thereto and in strict conformity with the plans, drawings, sta ents or :.ecifications submitted to the proper auth des of Miami Shdree4�
In acceppn this permit I assume responsibility for a work done by e ` r myse my agenj,4ervant or employee.
(/ C22
CONTRACTOR OR BUILDER
AUTHORITY
T
7 1UILDING
LECTRICAL
'LUMBING
Owner of
wilding
4rchitect
Contractor
ar Builder
.ega1
)escription
Lot
4ddress of
wilding
PERM1'T N9 6568
Work to
Value of .
Project
This permit is granted to the contrac or or builder named above to construct the building or to install the equipment or devie° described in the appli-
lation herefor in strict compliance with alt ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with alny
Mans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
it any time if the work is not done) in compliance with such ordinances or if the plans are changed without vutharization. A further condition upon which this
ierrnit
ti is gra nted is the o e work g that , ov d hereby contractor
whether shown builder
a raw es the res p onsibility.for. a thorough knowled_e of the ordinances and
e
granted o
g p plans d gs or in the st ants or specifications a a th e assumes respon-
ability for work done by his agents; servants or employees.
TN5P CTor
In consideration of the issuance to me of this permit I agree to.jerforne work covered hereunder in compliance with all ordihixnces and regulati ns
,ertainin thereto and in strict conforrni y with the
n acct g this permit I assume responsibility for a work done drawings, state ®rr to+ self s agent, ant o r em to the proper authorities" of Miami Shores Vill ge.
r
ation�
self, y agent, want or employee.
'MIAMI SHORES VILLAGE, FLORIDA
be performed under this Permit
Signed.
Subdi-
vision
4.
Contractor's
License No.
Amt. of
Permit
By
194
AUTHORITY
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
1 / # ELECTRICAL INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
� APPLICATION FOR ELECTRICAL PERMIT
Permit No _
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.
__.__ __ Ate∎ ! No.__ ••=f / __ __
No
Street_
Location and Legal Description Lot______ Subdivisi
Street and Number where work is to be performed —No / Street___ `0.1 4.?/
State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs _________________________ No. of Stories
Service Overhead Size Feeders Conduit Main Sw _ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_/
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, 9n work to by'performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
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)
(Signed)
Main Fuses____________________Amps.
Notary Public. State of Florida
Master Electric
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
• N.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
V
a
CHECK
ENT.
SW.
DIST. ,
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
1 / # ELECTRICAL INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
� APPLICATION FOR ELECTRICAL PERMIT
Permit No _
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.
__.__ __ Ate∎ ! No.__ ••=f / __ __
No
Street_
Location and Legal Description Lot______ Subdivisi
Street and Number where work is to be performed —No / Street___ `0.1 4.?/
State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs _________________________ No. of Stories
Service Overhead Size Feeders Conduit Main Sw _ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_/
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, 9n work to by'performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
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)
(Signed)
Main Fuses____________________Amps.
Notary Public. State of Florida
Master Electric
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.