Loading...
636 NE 101 St (11)• • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date - ( - Qq Job Address _6J - 4)f - /6 t St Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant co; /7 g f \ 3:0:9(47(3& 5 ,L7 j I° S , r jv Master Permit # Owner's Address r� S Phone 2 'J C'% 5 7C7 066 Contracting Co. R I / t! z' £ z r"`_- e t C CO rt. Address 7 v Qualifier Nee 7-a ,f �,��?/ � L �/' ss# VPhone� -3 v � .332? p • L�o J State # 00/3 Municipal # 4 3q. ADD y2 Competency # Address Address Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING L PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION L Se P` (J l`(, C )J1 < t Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work construction and zoning. F • ore, I authorize the above -named contractor to do the wor Signa e of o er c d/or Condo icprt a Ze f s Notary as to Owner and/ooCgntjo t a t' F AR ,1 te My Commission Expites: 1 . m ° . 3„ APPROVED: Zoning Mechanical FEES: PERMIT 4 0 RADON 9-g ctor or Owner - Builder 0 ;3 .7i/ ctor or • er- Bmmilde V 1'I , .t- :� • y' , f Date mo Signs Notary : o ontra My Commission E xpires: -boo gene in compliance with all applicable laws regulating C.C.F. " 60 NOTARY ) BOND TOTAL DUE53 ✓ Building Electrical Plumbing Structural Engineer ITc31 BATld 112 8IOE1 BISID&ER 0 IS'OSAL OR I141010 FOUNTAIN FL . R DRAIN (AN ABE :C ____N =C3 3UILDING PERMIT ifUS ACCOMPANT TEES ADDENDUM. IT A MASTER PERMIT EAS 3. ;c= NZED NCT BE PRESENT ON SUBSEQUENT A2BLICA?_TCNS. ) or .• UVATCRY L AL7CRY TRAY CLOTHES NAgre SLCIPER SINK, POT/3 Cam. SINK, RESl0ENc SINK, SIP TE WORARY 1fATE Q URINAL HATER CLOSET INDIRECT NAVES TIATER SI.PPLT TO: 1•EATc't� -NE's► pc. RELAY OBTA_NED, THE CWN 'S NOTARIZED S: GREASE TRAP A/C UNIT F IRE SPRINKLER HEATER- REPL:L URN SFRINKL=4 -TELL SCRUM POOL FIATER Salvia SERER CtECT IOC UTILITY -KATER ( FIXTLRES SEPTIC TANK GRAINFIELD, 4' TILE/RES. PUP & ABAIOON Z T1C TANK SOAKAGE PIT al. Fi CATCH BASIN 0 I SC: LAR NEL =EST IC AREA DETAIN ROOF INLET NELL SOUR HATER HEAD F IRE STANDPIPE POOL PIPIIC LANN S?RINKLER SYSTE GAS R~ METER SET (GAS) GAS P IP DC P L U M B I N G = :NcUM TO EU :L::NG= PERMIT APPLICATION UNIT FEE Ira 1 SNITG'i CUTLEM LIGIT antra 1 RECEPTACLES SIGN TRA1rSFORIEIS ELECTRICAL MECHANICAL SERV IM TIIPCR,'RY SERVICE SIE IN APS SERVICE REPAIR/1E1ER C°JE APPL lAta OUTLETS WISE TCP OVER HATER HEAT -'R 1oTCAS 0- 1 P I0T11 S OVER 1- 3 If ICTCRS OVER 3- HP IQTCRS OVER 5- 8 1f ItTTCRS OVER 8- t0 1f ICTCRS OVER 10- 25 13 IDTCRS OVER 25.100 HP IOTtS OVER i00 If A/C NIKON AIR COICITIOTERS STRIP HEATER GB RATCRS TRARSFCRiERS GENERATORS m GEIEit ATCRS TRAhSFCRIELS SPECIAL PLRP0.5c CUTLETS CcuL SIGN TUBES UTILITY -SERER SIGN TILE CLOCK ANTENNA TELEVISION CUTLETS VIOLATION RE INSPECTION FP6 613P1//C/= UNIT 1 1 1 rtt 1 ITEIR SPAC I€A ERS CNTRAL HEAT D G A/C (!IW) A/C (CEITRAL) O;cT TORK RE=R ISRAT ION PROCESS ANO PRESS PIPING IRUND TANKS ABOVE CACLII0 TANKS U.F. PRESS.RE VESSELS STEAM BOILERS HOT NATER BOILERS I€CIAN VE IT1LuTlON TRMNSPGITDG ASSE3BLIES E1.EVATCRS/ESC MATTES FIRE SPRIMQER STST56 COOLING TOTTERS VIOLATION REINS?ECTION UNIT rc. 4mi Shores Village, Fla. OWNER ADDRESS INSPECTION TIME READY PERMIT NO. CONTRACTOR TELEPHONE NO. 6 36 Ale /01S/ ikrrn 0 • 1441,...41■8011•0010 DATE g--c 3gil e INSPECTOR DATE Permit No....v. STATE OF FLORIDA, } COUNTY OF DADE. u. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Employing Electrician's Name.... ' "E I L pc f C CO. (Signed) No c i 0 Date - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :ida, 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 progreu of work. Owner's Name and Address 1 A Fm R .P✓ No._ 3,6 Street... A/- c / C1 Registered Architect and /or Engineer l Street 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 Repaira.... No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground 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 u 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 sub-contractors, on work to be performed under this pe .. , –as are licensed by Miami Shores Village. acknowledgments, rician. personally Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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 face therein by him stated are true. Notary Public, State of Florida My Commission Expires 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'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 2 /iO A � jJ ' +� e� .7 ,. .} CHECK Permit No....v. STATE OF FLORIDA, } COUNTY OF DADE. u. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Employing Electrician's Name.... ' "E I L pc f C CO. (Signed) No c i 0 Date - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :ida, 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 progreu of work. Owner's Name and Address 1 A Fm R .P✓ No._ 3,6 Street... A/- c / C1 Registered Architect and /or Engineer l Street 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 Repaira.... No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground 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 u 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 sub-contractors, on work to be performed under this pe .. , –as are licensed by Miami Shores Village. acknowledgments, rician. personally Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take 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 face therein by him stated are true. Notary Public, State of Florida My Commission Expires 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. N MIAMI SHORES VILLAGE 7' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No U C [ 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 speafications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name ¼. = ' �• / Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No...k 2 w State work to be performed and purpose of building (By Floors) / 0/ New Building Remodeling Addition £ Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I 85. My Commission Expires '� (Signed) Eleetrfcal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws .of' Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors�br 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i2' (Signed)...�� r Street Repairs No. of Stories T ��� Notary Public, State of Florida Master Electriaan. 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. 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 OUTLETB PLUG REc!'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANG! CONN. WATER HEATER W. HIAT. CONN. ACE HA TE R STRIP HATER TOTAL LIsr C HICK ENT. SW. DIRT. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST >. CHECK ?. 5' N MIAMI SHORES VILLAGE 7' ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No U C [ 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 speafications must be kept at building during progress of work. Owner's Name and Address No Street Registered Architect and /or Engineer Employing Electrician's Name ¼. = ' �• / Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No...k 2 w State work to be performed and purpose of building (By Floors) / 0/ New Building Remodeling Addition £ Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I 85. My Commission Expires '� (Signed) Eleetrfcal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws .of' Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors�br 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i2' (Signed)...�� r Street Repairs No. of Stories T ��� Notary Public, State of Florida Master Electriaan. 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. 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. MIAM) 'HORES VILLAGE, FLA. JOB ADDRESS INSPECTION 1/1 1 r , TIME READY / i 1 - I Z J // C t-I o_Eitit1 INSPECTOR N? 5986 DATE PPLICATION FOR ELECTRICAL PERMI r Permit No Date r 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 / Vi No Street Registered Architect and /or Engine Employing Electrician's Name r i j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot Block Subdivisiqn 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 f r fi Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding No Street" r, 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 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•contracto on work to w bt performed under this permit, as are licensed by Miami Shores Village. ) c z . r (Signed) 4 , 77 Muter Electrician. No. of Stories STATE OF FLORIDA, 1 COUNTY OF DADE. j U. 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER 1 - W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ° a �'�y �r,. , �` CHECK A •:: PPLICATION FOR ELECTRICAL PERMI r Permit No Date r 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 / Vi No Street Registered Architect and /or Engine Employing Electrician's Name r i j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot Block Subdivisiqn 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 f r fi Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding No Street" r, 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 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•contracto on work to w bt performed under this permit, as are licensed by Miami Shores Village. ) c z . r (Signed) 4 , 77 Muter Electrician. No. of Stories STATE OF FLORIDA, 1 COUNTY OF DADE. j U. 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. 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. Permit No i Owne r's Name and Address / 1 / Registered Architect and /or Engineer Employing Electrician's Name 58. NO No has complied with the provisions thereof, and will require similar compliance fro work to be performed under this permit; and will post or cause to be posted as are required by the Act. The undersigned agrees to employ only such su licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized appeared fa (; Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No �? State work to be performed and purpose of building (By Floors) N R,,;ld; Remodeling Addition 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 $ (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 " contractors or subcontractors employed by him in the n on the site of the work such public notice or notices on work to be erfo ed under this permit, as are Stree 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 therein by him stated are true. Street Street Master Electrician. to administer oaths and take acknowledgments, personally did sign the 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'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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. i / j > g . f j %/ LIST CHECK 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. Permit No i Owne r's Name and Address / 1 / Registered Architect and /or Engineer Employing Electrician's Name 58. NO No has complied with the provisions thereof, and will require similar compliance fro work to be performed under this permit; and will post or cause to be posted as are required by the Act. The undersigned agrees to employ only such su licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized appeared fa (; Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No �? State work to be performed and purpose of building (By Floors) N R,,;ld; Remodeling Addition 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 $ (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 " contractors or subcontractors employed by him in the n on the site of the work such public notice or notices on work to be erfo ed under this permit, as are Stree 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 therein by him stated are true. Street Street Master Electrician. to administer oaths and take acknowledgments, personally did sign the 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. Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot • "()NTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING LI DATE 1954_ E M 0 PERMIT N9 9054 Contractor's PLUMBING License No. - ROOFING LI El Work to be performed under this Permit_ BI. Signed• Subdi- vision Sq. Ft Value of Project 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 application 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 responsibility for work done by his agents, servants or employees. INSPECTOR ji ) Amt. of Permit $ •-- 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. BY AUTHORITY V 4ELELk"7 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building L.' Lot Li PERMIT N° 5324 LI e CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Signed Work to be performed under this Permit B1 • INSPECTOR DATE Contractor's License No. • Value of Project $ 9: Subdi- vision Amount of 2 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 application 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 responsibility for work done by his agents, servants or employees. ty, 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 195 7 -eetE7:4,, I " L ,, Company_ _ 1 Job_,. T `f— .-...t-c _ 4.4.--,...1-- Address — Inspection__ Time Ready_ REQUEST FOR INSPECTION Date Ready A.M. PHONE P.M. 4 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. Owner's Name and Address ...3.... .J ' . W STATE OF FLORIDA, COUNTY OF DADE. I s8' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / —/ No Street C Registered Architect and /or Engineer Employing Electrician's Name. ..('1 1.LJ.r. s.: -.. No 1 1 ! [...i.... _s wet....L..... ..i� Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to he performed and purpose of building (By Floors) New Building Remodeling Addition 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 $ (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 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. (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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 / D d I CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.! HP MOTORS 1•3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 4 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. Owner's Name and Address ...3.... .J ' . W STATE OF FLORIDA, COUNTY OF DADE. I s8' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / —/ No Street C Registered Architect and /or Engineer Employing Electrician's Name. ..('1 1.LJ.r. s.: -.. No 1 1 ! [...i.... _s wet....L..... ..i� Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to he performed and purpose of building (By Floors) New Building Remodeling Addition 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 $ (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 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. (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. BUILDING ELECTRICAL PERMIT N° 10 440 PLUMBNG Owner of +. Building \ / Architect Contractor or Builder Legal Description. Address of Work to be performed under this Permit y ,ft MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Value of Project $ DATE, / • _. 195 Contractor's License No Amt. of 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 application for in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ume 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 responsibility for work done by his agents, servants or employees. Signed: ,, , ., rte— BY INSPECTOR In consideration if the issuance to me of this permit I agree td perform J 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 ye 't I assume responsibility for all work done by either, myself, my agent, servant or employee. . Ste r 6 y? O TRACTOR OR BUILDER BY AUTHORITY Company_ lob _ !( / � c r' C. "4 Address .. , t // Inspection Time Ready Date Ready REQUEST FOR INSPECTION EC PHONE A.M. ; P.M. MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PLUMBING rr Owner of Building Architect Contractor or Builder 1 ft 'PERMIT N2 7492 Work to be performed under this Permit 4 DATE / , -' l' 194 Contractor's 0 � License No. Legal Lot Bl. Subdi- Description vision Address of [ 1 Value of Amt. of Building / _ ! i • e ; _ 1 •._. r` Project Permit - f� -,) This P ermit 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 drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. - / Signed. : •' • - yy IN f s -- t ' r By X ' In consideration of the issuance to me of this permit I agree to perform the + covered hereunder in compliance with a1ordinan'es and .ve la jons pertaining thereto and in strict conformity with the plans, drawings, statements 9t specifications submitted to the proper author[ s of Miami Shorts'iBege. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. )t -t1'. A - /r / r CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Contractor or Builder Legal Description Architect Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE J e PERMIT N°. 4559 Work to be performed under this Permit Owner of Building �4,-.4144.4.0ov Subdi- vision Address of ,�r, Value of I Amt. ofd Building t ,. ". �.. `/ 1.:--- . ° ' 7+`I Project I Permit L) This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device de ribed . the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in co ' pli ce with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit y 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 ..n 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 of in e statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. / �' Signed • ^ By r 4e I PECTOR � 'i' 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. ,�, , 4„ . Contractor's License No / C Y4 BY AUTHORITY 194L NO. Motors Receptacles STREET PART OF LOT LOT BL'K SUBDIVISION Other Apparatus `!w r i % t' /1 � ; r 95 0. f :y Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee r 95 d 7 ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction Owner of Building 1 i ' Contractor or Electrician)lj ..y e YY1iami Alores}illage F L O R D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , NUMBER OF LO CATI O N DESCRIPTION OF WORK 439 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with he plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code sf Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time ipon 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 he 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, Elect Department of Miami V; Shores Village. '^' Dated / �" v ' � 19 ' ' f (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee 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 iami rfhores9 liage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 LOCATION DESCRIPTION OF WORK ■9 413 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with he plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code If Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time pon 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 he 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 , 19 a M (Seal) NO. Motors Receptacles Generators STREET PART OF LOT LOT BL'K Other Apparatus SUBDIVISION Permit Fee lir ,lf! // t fi • /<< r� : / jI �_ M a fi r + /'- Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee � 1 , . c -- / / ..... ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building S °' Contractor or Electrician dd Liami Jhores F L 0 R 1 D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , e LO CATI 0 N DESCRIPTION OF WORK NUMBER OF /(//P , fir %kr ( N° 485 This Permit is granted upon the express condition that all facts stated in the Application are true and > at 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 1 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 regulatiou,,pf the Electrical Department of Miami Shores Village. Dated /-•- ,r¢` '"` , 19 (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION / ✓)) Billboards Other Apparatus � � 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 )`) / ; O n tractor or Electrician Dated 1iarni =ilzores9'llage F L O R ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , NUMBER OF LO CATI 0 N DESCRIPTION OF WORK 19 N? 485 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 Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby'aaree 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 gad regulations of the Electrical Department of Miami Shores Village. ' 19 _ ! (Seal) h Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 7s ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building i r ■' ractor or Electrician f r NO. / STREET Dated r� l , 19._ aiami choresllage FL OR ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , LO CATION PART OF LOT N LOT BL'K DESCRIPTION OF WORK This Permit is granted upon the express condition that all facts_Atated in the App1ig'ation 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 ime upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized this Department. • In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all State of Florida, all the Electrical Ordinances and Codes of :Miami Shores Village, and all rules and regulations of the )yl rical Shores Village. 1 y I i ' lit ( SUBDIVISION ■9 413 • , Electrical Inspec or. strict conformity with Electrical Laws of the Department of Miami (Seal) NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee 4 Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 7 .31 ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building r 1' _ •ractor or Electrician) Dated aiami tfhores9llage F L O & ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , ,t 19 NUMBER OF LO CATI 0 N DESCRIPTION OF WORK 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 th J epartment. / / 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 E gtr; 1 Department of Miami Shores Village. r t pel rl+ It N° 439 , Electrical Inspector. (Seal) FLOOR NUMBER OF SIZES OF INSULATION CONCEAL 'D NU B OF OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First Second Third Fourth Other Floors aiami ,Shorescilla 2 T L OR ID A Application is hereby made for issuance of permit for electrical installation as descifl ed$etow, and for inspection of same after installation: Date i G 193( Owner !/ # 4„et /f Address t 1 ' ? Building Contractor " Electrical Contractor - r 11 -r0 , f " 4 .27 �d !`-G✓ J ''�> -'� ' % . , , �, Location of proposed work: Lot f / Block 103 Subdivision Building: Old or new _ Number of stories Used as Description of proposed work Details of proposed work: Number of Motors H P 0 55- Additional Information Signature of Applicant APPLICATION FOR ELECTRICAL PERMIT Address (if other than owner or contrac Volts Amps. Phase MOTORS RECEPTACLES GENERATORS STOVES WATER H' TERS SIGNS BILLBOARDS OTHER TUS ,n ,. I- / '' i9 ' • T 240 ,,,0- e'C41-4"., la - 1 i ) l ' i ' P - _I ,___ . f (SPACE BELOW FOR INSPECTOR'S USE ONLY) f r r f / ' ip i 1(i Work begun Inspected Work finished Final inspection i< < I .(•, • ( ' F , Inspector MIAMJ SHORES VILLAGE PERMIT Office of Electrical Inspector No. yfr-J CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring "' and apparatus •�✓ t" g pparatus installed at !{� "� t> sr / j s i by for 6. A t 1' ,mow,/ has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service A Range Power: Connected load x Other Apparatus Address owner, and occupied as I ) Number of Lighting Circuits watts. Water Heater X H P Space Heaters 2 / / eee watts ELECTRICAL INSPECTOR. watts OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS 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 Third t • 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 /1 '� t Address Building Contractor Electrical Contractor Ct /` • r_ Block Subdivision A U .2-# i I) / .' ' / Building: Old or new ' a ' "" Number of Used as f Description of proposed work 4 / ' .t Location of proposed work: Details of proposed work: Number of Motors Additional Information Lot H P Address (if other than owner or contractor) aiami fhoressillage F L O R D Volts Amps Phase ✓� l Date - 193_ Signature of Applicant f (SPACE BELOW FOR INSPECTOR'S USE ONLY) w' Work begun Inspected Work finished Final inspection j ; Inspector