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517 NE 102 St (3)Permit No New Building /935 Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name.. Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $ 11 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM State work to be perfgryped and purpose of building (By Floors) No Block / Dy (Signed) (ee-7K (Signed) No. /./ 4 Date V Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI 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 7 Street re Street.. ' e _ .A& • Subdivision Street Remodeling Addition Repairs No. of Stories Overhead jf /O (!G Service itd o�a....a l Site Feeders Conduit,/ . Main Sw Ampl Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding ectn ns. - •r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermanent 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Muter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I 68. 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 REFR10. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE 14 STRIP H r/ TOTAL CONTR. LIST t �i /r 1 VV T[J 2., f� CHECK ENT. 8W. DIET. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS N EON 1.8 HP TRANS. RADIO TOTAL CONTR. LIST //,�' �' 2/ aeL- (J� , A l�� .. CHECK - Permit No New Building /935 Owner's Name and Address Registered Architect and /or Engine Employing Electrician's Name.. Location and Legal Description Lot Street and Number where work is to be performed —No Amount of Permit $ 11 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERM State work to be perfgryped and purpose of building (By Floors) No Block / Dy (Signed) (ee-7K (Signed) No. /./ 4 Date V Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI 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 7 Street re Street.. ' e _ .A& • Subdivision Street Remodeling Addition Repairs No. of Stories Overhead jf /O (!G Service itd o�a....a l Site Feeders Conduit,/ . Main Sw Ampl Main Fuses Amps Type of Installation — Conduit Tubing B.X.L .Metal Moulding ectn ns. - •r. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 'ermanent 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Muter Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I 68. 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. ELECTRICAL INSPECTION DEPARTMENT 9 1 i APPLICATION FOR ELECTRICAL PERMIT Permit No e I 1 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. Owner's Name and Address L_ C?J.QL C2 Registered Architect and /or Engineer Employing Electrician's Name `r� &rA/ 77 6 _ K �f « _ .. /4' N Location and Legal Description Lot Block STATE OF FLORIDA, } COUNTY OF DADE. s s. MIAMI SHORES VILLAGE "k � Amount of Permit $ / ' SU (Signed) No ,5/ 7 Street_./ (t J7 4 ger 7/4' Subdivision Street and Number where work is to be performed —No 5 / 7 /a ' ja a ✓T � S !.'/ State work to be performed and purpose of building (By Floors) ST/Q New Building Remodeling Addition Repairs No. of Stories oaS Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding W 2.. lectrical Insp Ct6r 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 subcontractors, on work to be perf�{rned under this permit, as are licensed by Miami Shores Village. (Signed) O'ete 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. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST • CHECK ELECTRICAL INSPECTION DEPARTMENT 9 1 i APPLICATION FOR ELECTRICAL PERMIT Permit No e I 1 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. Owner's Name and Address L_ C?J.QL C2 Registered Architect and /or Engineer Employing Electrician's Name `r� &rA/ 77 6 _ K �f « _ .. /4' N Location and Legal Description Lot Block STATE OF FLORIDA, } COUNTY OF DADE. s s. MIAMI SHORES VILLAGE "k � Amount of Permit $ / ' SU (Signed) No ,5/ 7 Street_./ (t J7 4 ger 7/4' Subdivision Street and Number where work is to be performed —No 5 / 7 /a ' ja a ✓T � S !.'/ State work to be performed and purpose of building (By Floors) ST/Q New Building Remodeling Addition Repairs No. of Stories oaS Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding W 2.. lectrical Insp Ct6r 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 subcontractors, on work to be perf�{rned under this permit, as are licensed by Miami Shores Village. (Signed) O'ete 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 PLUMBING ROOFING Address of Building . t CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA o PERMIT N9 5991 Owner of Building Architect Contractor or Builder f Legal Lot Description II Bl Work to be performed under this Permit Subdi- vision Value of Project $ DATE - 19 Contractor's l License No. Amount of, Permit $ 4 " 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 applica- tion 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- " 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by eithgr, myself, my agent, servant or employee. BY AUTHORITY ABBOT BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE 1944_ PERMIT N9 2204 Work to be performed under this Permit Owner of Building Subdi- vision Value of Project Contractor's - - r License No. • - _fi e... 6- Legal Lot Bl. + r Description Address of Building z r ,t , 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. Signed• B 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. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING PERMIT N° 2261 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA DATE . 194_7 Subdi- vision Value of Project 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 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 name above assumes the responsjblity for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or iti.the statements or specifications and the • •e 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 MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION PERMIT No. 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. MIAMI' SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION PERMIT No. "f f THIS CERTIFIES THAT the wiring and apparatus installed at ..'" ? 1. . , by Address for owner, and occupied as p ohimmuomemok 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 ti ELECTRICAL INSPECTOR. JOB: BUILDING ELECTRICAL PLUMBING 6. A r4 = # Inspector's Roport: foe tov • • • • • • • AD: The following is ready for Inspection: :: WORK • DONE BY: / /1^✓ • : . REQUESTED IVO ��. : WILL BE READY • • • 3 7 1- 4 1 3 JOB: BUILDING PLUMBING ELECTRICAL : Inspector's Report: AD : ( 6 a • : WORK : DONE BY: : REQUESTED The following is ready for Inspection: • • ; WILL BE READY • • • • • • • • • • JOB: BUILDING ELECTRICAL : PLUMBING Inspector's Report: IMO AD: • • WORK • ▪ DONE BY: • • . REQUESTED • • • • • • • • • The following is ready for Inspcction: • • • • • . WILL BE READY Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. as. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT Permit No 0 /2/ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit or the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of a mi 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 Mork. Owner's Name and Address (Signed) No. Street Registered Architect and /or Engineer Employing Electrician's Name c Location and Legal Description Lot _____ Block �) Subdivision_ ___ _______ ______ Street and Number where work is to be performed —No i � ___________ _ - Street 1 K- `% State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories______________ No Overhead ; - , Service Underground Size Feeders • Conduit____ Main Sw. Amps. Main Fuses ' Type of Installation— Conduit Tubing � B.X.L. Metal Moulding Notary Public. State of Florida Street Master Electrican. Amps. Ele cal Inspector. The undersigned applicant for this building permit does hereby certify that e 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. 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 RECE'P'T'S FIXTURES NO.LAfM PS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. --4E-4L_ / i l t �I CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. as. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT / APPLICATION FOR ELECTRICAL PERMIT Permit No 0 /2/ Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit or the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of a mi 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 Mork. Owner's Name and Address (Signed) No. Street Registered Architect and /or Engineer Employing Electrician's Name c Location and Legal Description Lot _____ Block �) Subdivision_ ___ _______ ______ Street and Number where work is to be performed —No i � ___________ _ - Street 1 K- `% State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories______________ No Overhead ; - , Service Underground Size Feeders • Conduit____ Main Sw. Amps. Main Fuses ' Type of Installation— Conduit Tubing � B.X.L. Metal Moulding Notary Public. State of Florida Street Master Electrican. Amps. Ele cal Inspector. The undersigned applicant for this building permit does hereby certify that e 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. 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. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $7 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. 2 / Date____ — L 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 wor Location and Legal Description Lot__ Block Subdivision C i \J� I ,\ T Street and Number where work is to be performed —No cl__ State work to be performed and purpose of building (By Floors) _____ No.___________ Street No Street___ New Building Remodeling Addition Repairs. Street_____ No. of Stories_. Service Overhead Size Feeders Conduit Main Sw. Amps. Underground Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) — - - - -- -- lectrical 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. S s. (Signed) My Commission Expires Notary Public. State of Florida Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 REFRI G. 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 PER MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Amount of Permit $7 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. 2 / Date____ — L 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 wor Location and Legal Description Lot__ Block Subdivision C i \J� I ,\ T Street and Number where work is to be performed —No cl__ State work to be performed and purpose of building (By Floors) _____ No.___________ Street No Street___ New Building Remodeling Addition Repairs. Street_____ No. of Stories_. Service Overhead Size Feeders Conduit Main Sw. Amps. Underground Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) — - - - -- -- lectrical 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. S s. (Signed) My Commission Expires Notary Public. State of Florida Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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.