410 NE 102 St (7)APPLICATION FOR ELECTRICAL PERMIT •
/
Date. ��j A` ,tdl
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. 4-
Owner's Name and Address "Ih
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No 1
Street (/'
Registered Architect and /or Engineer
Employing Electrician's Name s1.-/fri47 / p 'C No 733 7.s1- frt treet
New Building Remodeling Addition. ./0/
Location and Legal Description Lot BIo Subdivision
Street and Number where work is to be performed —No 5t /4 /I `, ' 10 ,Z Street 5 Q e
State work to be performed and purpose of building (By Floors)
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 $
ptQe E .( rical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati.ns 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.
STATE OF FLORIDA, 1
COUNTY OF DADE. I j
sa.
(Signed) -- C-" ( - )1
(Signed)
e
aster 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
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
(1)
1
4 2' A
CHECK
APPLICATION FOR ELECTRICAL PERMIT •
/
Date. ��j A` ,tdl
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. 4-
Owner's Name and Address "Ih
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No 1
Street (/'
Registered Architect and /or Engineer
Employing Electrician's Name s1.-/fri47 / p 'C No 733 7.s1- frt treet
New Building Remodeling Addition. ./0/
Location and Legal Description Lot BIo Subdivision
Street and Number where work is to be performed —No 5t /4 /I `, ' 10 ,Z Street 5 Q e
State work to be performed and purpose of building (By Floors)
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 $
ptQe E .( rical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati.ns 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.
STATE OF FLORIDA, 1
COUNTY OF DADE. I j
sa.
(Signed) -- C-" ( - )1
(Signed)
e
aster 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.
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
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose
New Building Remodeling
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT '/ G
Date 2
41io)/
of building (By Floors)
.Block Subdivision
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
(Signed) IG.4 _.. .!.n JN
Electri gtt Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman t Supplement, and
has complied with the provisions thereof, and. will require similar compliance from all contractors or subcontractors a toyed 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 sue public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contrac :rs, on work be peed nder this as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
88.
My Commission Expires
(Signed )
No l/'
Nob Bd
Street
Notary Public, State of Florida
/1
Master Electrician.
to administer oaths and take acknowledgments, personally
Before me, the undersigned authority, a notary public, duly authorized
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
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.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/ /�-�)
V
f
CHECK
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
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be performed and purpose
New Building Remodeling
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT '/ G
Date 2
41io)/
of building (By Floors)
.Block Subdivision
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
(Signed) IG.4 _.. .!.n JN
Electri gtt Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations s an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perman t Supplement, and
has complied with the provisions thereof, and. will require similar compliance from all contractors or subcontractors a toyed 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 sue public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contrac :rs, on work be peed nder this as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
88.
My Commission Expires
(Signed )
No l/'
Nob Bd
Street
Notary Public, State of Florida
/1
Master Electrician.
to administer oaths and take acknowledgments, personally
Before me, the undersigned authority, a notary public, duly authorized
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.
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑
PLUMBING PERMIT N? 9999
❑
Bl.
Work to be performed under this Permit
Signed:
t
Subdi-
vision
INSPECTOR
BY
Sq. Ft
Value of
Project $
DATE
Contractor's
License No
r.,
Amt. of
Permit $
196 =,..
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 knowlgdge 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.
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.
AUTHORITY
17
NO.
STREET
71i i f e 2
PART OF LOT
LOT
/4/,
BL'K
f/
SUBDIV O ..
7 / *
hid 001 kliii
"rite
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
I X
h.) r fi al
t '�IIiPJ
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premis d ring
the construction. � /�
lJ
Owner of Building
Cillractor or Electrician
aiami cJhores9Illage
OFFICE OF ELECTRICAL DEPARTMENT
iami Shores Village, Fla ,
F L O A 1 D A
thoDepartment.
Shores Village. p
Dated .r armor a 19 • _
r,
DESCRIPTION OF WORK
NUMBER OF
LO CATI 0 N
N9. 835
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 f the pll s and s ifications unauthorized by
77
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I her y 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 Electrical Department of Miami
•
` - � (Seal)
I
ELECTRICAL PERMIT A N?
O mer of Building__ - "�
NAME
Architect and /or Engineer
NAME
Contractor or Builder
Proposed Location _1
LOT
• NAME
OCK
179
AMOUNT RECD. PAYMENT ACCT. DEPT.
SUB- IVISIO9l1
ADDRESS
ADDRESS
g
ADDRESS
NOTE: A charge of $1.00 will be made for making co ection g pp pp rdvaI has
A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
J,.G 4 , 19
LICENSE NO.
LICENSE NO.
STREET
NO.
This permit is issued to) ''se1cez : S.e�'.. To
the building above described, as per application, Plans and Specifications heretofore filed in this office. 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 in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building 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 - the plans and specifications unauthorized by the building inspector.
!�
Dated 19 " —
changes f"
s or cha es to this application after d
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
ns and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Villaje.
(SEAL)
been obtained from the Planning Board.
or faulty materials and /or workmanship.
NO.
Motors
Receptacles
Generators
Stoves
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
a'
_ ''i
l
.+
a
t " •
+ s �o r'
� /
/
� T
r r
1 f ,
i, a °
1S
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
a'
/
/
, .w 40;
'
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction. -*
Owner of Building
Contractor or Electrician • 1':.• .
aiami =_Fhores91llage
F L O A D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , /
LO CATI O N
sy,• #"w
19
■9 835
this Department.
DESCRIPTION OF WORK
NUMBER OF
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 maybe 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
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
F 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
, Electrical Inspector.
te r' (Seal)
ELECTRICAL PERMIT A N° 179
BJ.la1410•146
Owner of Building_1:I__e .
Architect and /or Engineer
NAME
Contractor or Builder.._ ? ±' _ "�_� __'- __ ___�____�
Proposed Location / `
AMOUNT
LOT
1
NAME
NAME
RECD. PAYMENT ACCT. DEPT.
dj ! /
ADDRESS
ADDRESS
ADDRESS
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
i-2- 47 , 19+3
' 1
BLOCK SUB- VISION NO.
LICENSE NO.
LICENSE NO.
STREET
,r .
This permit is issued to e 4 .---,A.-_,..___.__._ a - ---- f ,
the building above described, as per application. Plans and Specifications heretofore filed in this office. 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 in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said
laws, ordi aces or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector.
INSPECTOR
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
g ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
, 19
!' (SEAL)
' 00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
vill be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
j
THIS CERTIFIES THAT the wiring and apparatus installed at / - ''' kr:4
..---..---
A .,.A. , j
.A, , 4+ fr, . e'
by --' - ,-- . - - .4.-E- , - ic Address
`) ,* d ' $
for t k I' -' :-.-- owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
e , i , .„:
Size of Service, 1.4 6 /
' Number of Lighting Circuits
or- , _
i , -i*
Range R (‘- t t ,-,t,'--, i f +' watts. Water Heater watts
Power: Connected load
Other Apparatus A
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
H P. Space Heaters,?'
PERMIT
No.
ELECTRICAL INSPECTOR.
watts
OORS
FIXTURES ONLY
NUMBER OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
No.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
ENT
-
®
J
1 Jr
g /
ff
p e.e. z
D
1J01 1 /Pill
1N /
/fty!
H
A - 63
STREET AND NUM
OWNER
OCCUPIED As
BUILDING - -NEW OR OLD (UNDERLINE WHICH)
BY
CEILING BRACKETS
q ® I 3
F
BASEM
FIRST
SECON
THIRD
FOUR
MASTER ELECTRICIAN
RECEPTACLES
SWITCHES
.._'
APPLICATION
STOVES
WATER HEATERS
RECEIVED BY INSPECTOR INSPECTED
PROGRESS
WILL INSPECT AGAIN
ROUGH WIRING
FINAL No
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
UDR 2 - - /
FEE REMITTED i !� if>/
SIDF
DAT
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your certificate of Approval, application is hereby made for an inspection of the
electric installation in the premises stated below, for which undersigned agrees to correct
any infractions of the National Electrical Code and the City Ordinance pointed out by In-
spector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
LOT NUMBER_/ f 11 BLOCK NUMBER_ SUBDIVISION
Q
81GN8
Nif IOW 4W i 1 /
SPACE BELOW FOR INSPECTOR'S USE ONLY
NO
•
WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR
SPECIFICATIONS
ki3r
4
OCCUPANT
H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF
:„ ( OTHER APPARATUS
PM '/11
KIND OF INSTALLATION 111 OPEN OR CONCEALED KNOB. RX.. BX.. MLDG., CONDUIT, METALLIC TUBING
REMARKS
INSPECTION WANTED
DDRESS
INSPECTOR
Permit No.___1 7_
Amount of Permit $
Service Overhead Size Feeders
Underground
STATE OF FLORIDA,
ss
COUNTY OF DADE.'
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.
Owner's Name and Address ___ CA1� L� D__ni- E ' No 4 111 Street 10 2- �___ N_._E_
Registered Architect and /or Engineer
Employing Electrician's Name S_LJ kM D /L/_,S _�` • No. 23 4e Ai W Street__ JO sr ALW
Location and Legal Description Lot__ t. P Block q1
Street and Number where work is to be performed —No. III _Q Street___ 0 _
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Conduit__
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
My Commission Expires
Date_ A__44 • M qt
No. of Stories
Main Sw Amps. —____ Main Fuses Amps.
(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 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.
/2 /5/ 7 (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, 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
Master Electrican.
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
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -I HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No.___1 7_
Amount of Permit $
Service Overhead Size Feeders
Underground
STATE OF FLORIDA,
ss
COUNTY OF DADE.'
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.
Owner's Name and Address ___ CA1� L� D__ni- E ' No 4 111 Street 10 2- �___ N_._E_
Registered Architect and /or Engineer
Employing Electrician's Name S_LJ kM D /L/_,S _�` • No. 23 4e Ai W Street__ JO sr ALW
Location and Legal Description Lot__ t. P Block q1
Street and Number where work is to be performed —No. III _Q Street___ 0 _
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Conduit__
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
My Commission Expires
Date_ A__44 • M qt
No. of Stories
Main Sw Amps. —____ Main Fuses Amps.
(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 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.
/2 /5/ 7 (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, 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
Master Electrican.
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.
iteiRM
ELECTRICAL PERMIT A N9
't
•ner of Building
Architect and /or Engineer_
Dated_
BefeeP4
RECD. PAYMENT ACCT. DEPT.
288
SUB- DIVISION
ADDRESS
MIAMI SHORES VILLAGE
BUILDING- INSPECTION DEPARTMENT
NAME - -- -
Contractor or Builder a` ___e_ -iLg ., ___ f _Y
NAME
Y Proposed Location -- ' /so -. y/ 4
LOT BLOCK /�
•
This permit is issued to it � e
the building above described, as per application. Plans and Specifica ons heretofore filed in this office. 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 in accordance
and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and
regulations of the building department of Miami Shires Village. This permit may be revoked at -, ti„ up. the vi.lation .f any provisions of said
laws, ordinance�sules and regulations, or upo fiy : cha g• in the plans and specifications una oyl b .e b + ild s ~ tor.
AD RESS
d s /62
NO.
In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and
n s and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building 'ordinances and zoning jaws of •Miami Shores Village and all rules and regulations of t b . ding department of Miami Shores Village.
LICENSE NO.
STREET
f
SE NO.
INSPECTOR
(SEAL)
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
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.
%�';i,