520 NE 102 St (9)MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 7-1 4 Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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, whethgr 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 J Street
Amount of Permit $
My Commission Expires
� '`"') No ' 5;7° Street �� `
Block 14.7L
(Signed).
(Signed)
No AI 6 ?
Street
Subdivision
Notary Public, State of Florida
Electrical Inspector.
Master Electrician.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
The undersigned applicant for this building permit does hereby certify that he understands and accept( his obligations as an employer of
labor under the Florida Workmen 'a Compensation Act, being Section 5966, Compiled General Laws �offFlorida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors o - eub•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 publi o r notices
as are required by the Act. The undersigned agrees to employ only suc h subcontractors, oil wprk to b performed under is permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, i
COUNTY OF DADE. j
as.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of . the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
0
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUO
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
ii.
V'
A
4---
/01)
I
CHECK
-
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.0 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
—82._
)/
c=a4 0 d
CHECK
J
— `
(
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No 7-1 4 Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submit for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of iami 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, whethgr 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 J Street
Amount of Permit $
My Commission Expires
� '`"') No ' 5;7° Street �� `
Block 14.7L
(Signed).
(Signed)
No AI 6 ?
Street
Subdivision
Notary Public, State of Florida
Electrical Inspector.
Master Electrician.
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
The undersigned applicant for this building permit does hereby certify that he understands and accept( his obligations as an employer of
labor under the Florida Workmen 'a Compensation Act, being Section 5966, Compiled General Laws �offFlorida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors o - eub•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 publi o r notices
as are required by the Act. The undersigned agrees to employ only suc h subcontractors, oil wprk to b performed under is permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, i
COUNTY OF DADE. j
as.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of . the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
0
•UILDING
LECTRICAL
LUMBING
)wner of
; uilding
.rchitect
] ontractor
r Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE
1DERMIT N? 8525
Work to be performed under this Permit '
• 2'
t.
Subdi-
vision
CONTRACTOR OR BUILDER BY AUTHORITY
194 /
Contractor's
License No.
{
r �
.ega1 Lot Bl.
)escription
iddress of _" Value of Amt. of
; uilding - t Project Permit r
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 appli-
ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with any
Mans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t 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
,ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and hat he assumes respon-
ibility for work done by his agents, servants or employees. . o
Signed. , 1 , - " / ' " B \;,.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinnces and regulations
iertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Permit No 75 °, `
- APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
i 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 ___ _____ __ _ _ j�. No
Registered Architect and /or Engin er
Employing Electrician's Name _ _12 S ' ( 41." Cr _ No _____
Location and Legal Description Lot_�____ ______Y__ _____Block.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Remodeling
New Building
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Addition
(Signed) C
Stre — _��
Street-- ___V /
Subdivision_�11_ f __ _
Street- - --�- -- - — -- -
Repairs No. of Stories_______
�,D
Service Overhead ` _ Size Feeders__ __�__ Conduit A Main Sw. ° 1^ — Amps. Main Fuses_Y_f_J 0_ Amps.
Type of Installation— Conduit A C Tubing_ B.X.L Metal Moulding
I
Notary Public. State of Florida
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he nderstands and accepts his 34fgations 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 w rk to be performed under this permit, as are
licensed by Miami Shores Village. '
(Signed)
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
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 be is
of the above described construction, that be 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
NTR.
C f_ / IST
/�
!
/
6/ ® '�
�Sa
CHECK
E NT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
IST
CHECK
Permit No 75 °, `
- APPLICATION FOR ELECTRICAL PERMIT
Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
i 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 ___ _____ __ _ _ j�. No
Registered Architect and /or Engin er
Employing Electrician's Name _ _12 S ' ( 41." Cr _ No _____
Location and Legal Description Lot_�____ ______Y__ _____Block.
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Remodeling
New Building
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Addition
(Signed) C
Stre — _��
Street-- ___V /
Subdivision_�11_ f __ _
Street- - --�- -- - — -- -
Repairs No. of Stories_______
�,D
Service Overhead ` _ Size Feeders__ __�__ Conduit A Main Sw. ° 1^ — Amps. Main Fuses_Y_f_J 0_ Amps.
Type of Installation— Conduit A C Tubing_ B.X.L Metal Moulding
I
Notary Public. State of Florida
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he nderstands and accepts his 34fgations 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 w rk to be performed under this permit, as are
licensed by Miami Shores Village. '
(Signed)
Master Electrican.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
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 be is
of the above described construction, that be 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.