ELECTRICALPermit No. .. Q1.l1l4 A.l
Street and Number where work is to be performed —No 4.1 s 1=
/ r
State work to be performed and purpose of building (By Floors)..1 eC. Cie
New Building Remodeling Addition
Amount of Permit $.
STATE OP FLORIDA,
COUNTY OP DADS. I j
se.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
7
My Commission Expires
(Signed) 1
Date.
2
Application is hereby made for the approval of the detailed statement of the plane and specifications herewiEh 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, Fio;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 progress of work. jj "� �J � ,, ,,,
Owner's Name and Address V1 62 LQ.Y'k1 No.. /. / 1,1..LEStreet... /C. / 6 7L,
Registered Architect and /or Er . peer
/1/. I Fi Street
/ / 3 ploo)ng F� j s Q Nam1
J 1� 77 / i
Location and Legal Description Lot Block... / '
D
Subdivision. 4
Street AO 2,5 t
c
al<. i A im CQ.n %i2.pkt
Repairs O 4/4 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
(Signed) 04./-1
/Os 3
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 inspectio 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•contr ors o work to be performed under this permit, as are
licensed by Miami Shores Village.
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
Muter Electrician.
S
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
0
LIGHT
OUTLETS
PLUG
RECE•P•T•a
FIXTURES
NO. LAMPS
REFRIO.
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
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No. .. Q1.l1l4 A.l
Street and Number where work is to be performed —No 4.1 s 1=
/ r
State work to be performed and purpose of building (By Floors)..1 eC. Cie
New Building Remodeling Addition
Amount of Permit $.
STATE OP FLORIDA,
COUNTY OP DADS. I j
se.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
7
My Commission Expires
(Signed) 1
Date.
2
Application is hereby made for the approval of the detailed statement of the plane and specifications herewiEh 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, Fio;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 progress of work. jj "� �J � ,, ,,,
Owner's Name and Address V1 62 LQ.Y'k1 No.. /. / 1,1..LEStreet... /C. / 6 7L,
Registered Architect and /or Er . peer
/1/. I Fi Street
/ / 3 ploo)ng F� j s Q Nam1
J 1� 77 / i
Location and Legal Description Lot Block... / '
D
Subdivision. 4
Street AO 2,5 t
c
al<. i A im CQ.n %i2.pkt
Repairs O 4/4 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
(Signed) 04./-1
/Os 3
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 inspectio 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•contr ors o work to be performed under this permit, as are
licensed by Miami Shores Village.
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
Muter Electrician.
S
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.
•
Permit No
tcet-17
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
Employing Electrician's Name. ...2'` %/ '
/r /0 Amount of Permit $ its
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date f�I
"'' Ofae- –
No / Z��
Registered Architect and /or Engineer
No ° f M Sr 0 Street
(Signed)
•
(Signed). A• 74.4-a
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
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 subcontractors, on work to
licensed by Miami Shores Village.
Street-
,102-
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed — No 1 L� ''-- ,.% [ (, Street 0e, .!c(
State work to be performed and purpose of building (By Floors) --,42 t 'A r i'
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
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electrician.
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, 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.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
•
Permit No
tcet-17
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
Employing Electrician's Name. ...2'` %/ '
/r /0 Amount of Permit $ its
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date f�I
"'' Ofae- –
No / Z��
Registered Architect and /or Engineer
No ° f M Sr 0 Street
(Signed)
•
(Signed). A• 74.4-a
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
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 subcontractors, on work to
licensed by Miami Shores Village.
Street-
,102-
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed — No 1 L� ''-- ,.% [ (, Street 0e, .!c(
State work to be performed and purpose of building (By Floors) --,42 t 'A r i'
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
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electrician.
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, 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
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
This permit is granted to the contractor
herefor in strict compliance with all ordinance
drawings, statements or specifications that may
time if the work is not done in compliance with
granted is the understanding that the contracto
pertaining to the work covered hereby whether
done by his agents, servants or employees.
MIAMI SHORES VILLAGE, FLORIDA
DATE -4
Contractor's
License No
PERMIT IT? 11303
11
❑ Work to be performed under this Permit
CONT -'�' OR BUILDER
1
Bl.
In consideration of the issuance to me of this permit I a
pertaining thereto and in strict conformity with the plans, draw
In accepting this permit I assume responsibility for all work
ro
Signed:
Subdi-
vision
Value of
Project $
or builder named above to construct the building or to install the equipment or device described in the application
pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
shown on the plans or drawings or i the statemen . r specifications and that he assumes responsibility for work
Amt. of
Permit $
SPE s R
perform the work covered hereunder in compliance with all ordinances and regulations
statements or specifications submitted to the proper authorities of Miami Shores Village.
by either, myself, my agent, servant or employee.
Work to be per on ed tinao tt "Peri�irt
v� r 8th s aid to tfie c er o
l
ere-for r ;e � nice h atl `oy r i es
at en to r �sj
drawing ' t eeificati si p,int
tine . 'a w is not done to co *= "* 01 1
grad fs Sh er ttnderstarrdittg that e�ca t9 `r"ct
pert ** . Wor .covered h. y at
done b Botts, servants' or gloVee .�
mmS eration g of the
o' and d 'strict
assum
'der > na, "ed aboye,to; construct the e ttl g or to "t3stai1 the erHpieent or device described in the`r
ni ereta; a *O tae rst ;. thnt t e, w0 0141 be performed in co lia*ce
b tted' tp agtstov b - y pre pa � ccip f turities, This Pt n t <
tee � ithtt < p are change bout a ithox at t0 " A further condition won w
dye des rAsnantlhility fort .th:pre h. 1 o*fedge of the ordinances an to
e p a or dia*ngs -or ,the Statterents or ` editit Or4 an i that he assurau refPonskili t
Subdi
vision
Value ,Amt. of
Project $ 1'$*rmit a$
o w
ed'here ntler in co pliance with all o nes and regulation
rt elt trots submitted to tlie proper authorities of Miami Shores r C711kage
r myself, my agent, servant or e i} ayee
Permit No. ..�(1...
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
Registered Architect and /or Engine
Employing Electrician's Name 1
Location and Legal Description Lot
Street and Number where work is to be performed—No./.4.2'.3..., L,
Amount of Permit $ ...
STATE OF FLORIDA, l
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Date Z
No Street
No...V) 0 fel WO ? ^ Stree ;� .i ^
Block / ' Subdivision 1 'r f • •
/ 0 2'
Street
State work to be performed and urpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Al
...Conduit.
Underground
Siee Feeders... ..Conduit.... " t Main Sw..../ O 0 Amps / d 0 Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
(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)
712:W-7/ 4(111V °'
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.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/ �
t
/ 7
/! `1 _ ' {,
/ vI .b
/ rf
f //
/i /
/
j /. /„f-,�
/
��f.!
.. 9l 6
/
7
, I ,S'
/
.
/
''7 1
i! ✓
/
�.
/ ./ 6,
t..........
Li 0
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
/
Permit No. ..�(1...
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
Registered Architect and /or Engine
Employing Electrician's Name 1
Location and Legal Description Lot
Street and Number where work is to be performed—No./.4.2'.3..., L,
Amount of Permit $ ...
STATE OF FLORIDA, l
COUNTY OF DADE. I
APPLICATION FOR ELECTRICAL PERMIT
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Date Z
No Street
No...V) 0 fel WO ? ^ Stree ;� .i ^
Block / ' Subdivision 1 'r f • •
/ 0 2'
Street
State work to be performed and urpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Al
...Conduit.
Underground
Siee Feeders... ..Conduit.... " t Main Sw..../ O 0 Amps / d 0 Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
(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)
712:W-7/ 4(111V °'
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.
c.
Permit No. / 3 c/
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. r / '�j
Owner's Name and Address ... .....�1. � ..._ .. 1 .. ... No/ . - 3 2 `� Street_. <2,2,.. 02
Employing Electrician's Name C-6...." No ; 7 \ '.?\ i Street /
Registered Architect and /or Engineer , .i *-7
Location and Legal Description Lot Block Subdivision
Street and*Number where work is to be performed —No /2 3 Street 21 te e... ...
State work to be performed and purpose of building (By Floors)
New Building V Remodeling Addition r."--/ 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
4.
MIAMI SI—Fic REFS VILLAGE
Date — - — S /
Y aw e2-44 C?ri 0 -77 1 rv
(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. 011
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE. I
SS.
(Signed)
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
•
Master Electrician.
L -• -• . ��. - ++: o inr insnvrtinn_ or faulty
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
2
J
�/'
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
CHECK
c.
Permit No. / 3 c/
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. r / '�j
Owner's Name and Address ... .....�1. � ..._ .. 1 .. ... No/ . - 3 2 `� Street_. <2,2,.. 02
Employing Electrician's Name C-6...." No ; 7 \ '.?\ i Street /
Registered Architect and /or Engineer , .i *-7
Location and Legal Description Lot Block Subdivision
Street and*Number where work is to be performed —No /2 3 Street 21 te e... ...
State work to be performed and purpose of building (By Floors)
New Building V Remodeling Addition r."--/ 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
4.
MIAMI SI—Fic REFS VILLAGE
Date — - — S /
Y aw e2-44 C?ri 0 -77 1 rv
(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. 011
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE. I
SS.
(Signed)
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
•
Master Electrician.
L -• -• . ��. - ++: o inr insnvrtinn_ or faulty
c
NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is mane iieceasaa - ., y z... ,v.. ,... �_ ____ __
materials and /or workmanship.
Permit No/ 45 - �--�
Owner's Name and Address
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date f-n
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. ,«
Registered Architect and /or Enginee
Employing Electrician's Name '`` ti.tr∎` No... 0 0
C Block
Location and Legal Description Lot e Street and Number where work is to be performed— No ....,..�1.. ''f / £ y1-
State work to be performed and purpose of buildin (By Floors)
New Building �"' Remodeling Addition Repairs 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 $
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
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 - contractors, on work to
licensed by Miami Shores Village.
ss.
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed)
Subdivision
"t"S SSSS Re
1/Y /See
tty 4.44" a
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
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.
acknowledgments, personally
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
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
'
T
R
1 ..........1
L _ ...
��
CHECK
Permit No/ 45 - �--�
Owner's Name and Address
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date f-n
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. ,«
Registered Architect and /or Enginee
Employing Electrician's Name '`` ti.tr∎` No... 0 0
C Block
Location and Legal Description Lot e Street and Number where work is to be performed— No ....,..�1.. ''f / £ y1-
State work to be performed and purpose of buildin (By Floors)
New Building �"' Remodeling Addition Repairs 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 $
The undersigned applicant for this building permit does hereby certify that he understands and a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
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 - contractors, on work to
licensed by Miami Shores Village.
ss.
(Signed)
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
(Signed)
Subdivision
"t"S SSSS Re
1/Y /See
tty 4.44" a
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
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.
acknowledgments, personally
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.