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ELECTRICAL PERMIT
Date Job Address 71/1 V E' /©/ ST Legal Description I i J, ES / " ejCI6 Master Permit # Owner / Lessee / Tenant Phone (310J 7 Owner's Address Contracting Co. - ); , (bEAT7 t'L �t Qualifier )1/aJciAlt Rir_Ark'.b Phone S ` Competency # Ins.Co. Signature Date: y Comm Exp8/ of C.ntractor or Owner- Builder ary as to Contractor or 1 er- Builder My Commission Expires: C.C.F. NOTARY TOTAL DUE,V Fire Other Building Electric \). Engineering Carrier Air Conditioning • D�vison � o' Can%er Corporat on Carrier Cancer Parkway Syracuse New York 13221 Commercial Air Conditioning RESIDENTIAL AIR CONDITIONING CO. 20250 N.E. 15 COURT NORTH MIAMI BEACH, FLA. 33179 0 Carrier Corporation — 1961 BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3063 DATE Work to be performed under this Permit Owner of Building Subdi- vision Value of Project Contractor's License No. Amt. of Permit 194' 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,,,Qr,n the statements or specifications and that he assumes responsibility 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 regula- tions 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 BUILDING ELECTRICAL • • ADD: WORK DONE BY: The following i ready for,in'spection:- Inspector's Report : - / • • • • WILL BE READY Permit No._ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Owner's Name and Address ___. Registered Architect and /or Engineer Employing Electrician's Name APPLICATION FOR ELECTRICAL PERM 9" Date__ 7 A 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. Street----- --- _________ _ _ No _ _ Street_ 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) New Building Remodeling Addition.. Repairs Service Overhead Size Feeders Conduit._____ —___ Main Sw.______ - -_ —_ Amps. Main Fuses__ Underground Type of Installation— Conduit Tubing _ —_ B.X.L. Metal Moulding "/ f /7 Amount of Permit $_ !1.- (Signed) Electrical Infector. No. of Stories _________ _______ Amps. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss' (Signed) ______!_9 Master Electrican. My Commission Expires 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. 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 RE 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 /, 6 pis / "A �J V b / ,/ / ' Y / 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 No._ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Owner's Name and Address ___. Registered Architect and /or Engineer Employing Electrician's Name APPLICATION FOR ELECTRICAL PERM 9" Date__ 7 A 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. Street----- --- _________ _ _ No _ _ Street_ 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) New Building Remodeling Addition.. Repairs Service Overhead Size Feeders Conduit._____ —___ Main Sw.______ - -_ —_ Amps. Main Fuses__ Underground Type of Installation— Conduit Tubing _ —_ B.X.L. Metal Moulding "/ f /7 Amount of Permit $_ !1.- (Signed) Electrical Infector. No. of Stories _________ _______ Amps. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss' (Signed) ______!_9 Master Electrican. My Commission Expires 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. 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 PERMIT No. ' > Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. - � r ,r . Permit Owner's Name and Address f. Amount of Permit $ ±' STATE OF FLORIDA, k COUNTY OF DADE. 8s. 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 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. No Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot ' Block Subdivision _______ No _ Street_ Street and Number where work is to be performed—No. ___ A it Stree w ' ` -� -------- - - -- -- - - - - - - `----==-------- - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs No. of Stories Service Overhead Size Feeders Conduit._ __w_ Main Sw. Amps. Main Fuses___._________Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) My Commission Expires Notary Public. State of Florida Electrical Ipector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. s r (Signed) l _ __ — «. 'e + ---- Master Electrican. 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. 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 RE '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 it. f s ue:. i D `v r• 1 .1 i7) , f I { / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK - � r ,r . Permit Owner's Name and Address f. Amount of Permit $ ±' STATE OF FLORIDA, k COUNTY OF DADE. 8s. 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 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. No Street Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot ' Block Subdivision _______ No _ Street_ Street and Number where work is to be performed—No. ___ A it Stree w ' ` -� -------- - - -- -- - - - - - - `----==-------- - State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs No. of Stories Service Overhead Size Feeders Conduit._ __w_ Main Sw. Amps. Main Fuses___._________Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) My Commission Expires Notary Public. State of Florida Electrical Ipector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. s r (Signed) l _ __ — «. 'e + ---- Master Electrican. 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. 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.