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541 NE 102 St (12)Permit No. . N ... /9 4 [ Amount of Permit $ 66 STATE OF FLORIDA, COUNTY OF DADE. I °°' appeared Ben. rne-Z.. My Commission Expires NOTE: A re-inspection fee of $1.00 will be materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Application is hereby made for the approval of the detailed statement of the plans and specifications herewith (ubmitted 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. 1�1� nn ,,fi�rr// ��jj �� // ..� /� Owner's Name and Address ... 0) G- 4 �..0 No.sSd Street ,( �a ` ' Registered Architect and /or gineer C �j (`,� EEmployg Electri ©6',s ^ 'a C / e,' (t4 � 1 No /7 . /Q .�. Street. Location andlegal cacriou n Lot...Dl�/ 1' /. Block 4 Subdivision... ..s. / 1/45 / �. Street and Number where work is to be performed— No.. .. ti. 7 /..(„1....5�„V�7' (Signed) (Signed Street. Voo Date.0I f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories. service Overhead Size Peeders Conduit Main Sw Amps .Main Fuse Amps Underground Type of 'Installation -- Conduit Tubing B.X.L .Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w• to be •erformed u s 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 to me well known, and who, being by me first duly sworn, upon oath depose 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 lime, and that all facts therein by . statetOi��, LIC STATE OF FLORIDA - . NY COMMISSION EXP. JULY 4,1988 BONDED THRU GENERUL ICS. UNO. ` Mum Notary Public, State of Florida . made when such re-inspection is made necessary by improper notice foe inapection „or -faulty SWITCH OUTLETS LICHT OUTLETS PLUO RECE'►'T'e FIXTURES NO. L REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. NUT. CONN. SPACE NEATER STRIP NEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAO. SERVICE TEMP. t SERVICE PERM. VIZ MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CH ECK Permit No. . N ... /9 4 [ Amount of Permit $ 66 STATE OF FLORIDA, COUNTY OF DADE. I °°' appeared Ben. rne-Z.. My Commission Expires NOTE: A re-inspection fee of $1.00 will be materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Application is hereby made for the approval of the detailed statement of the plans and specifications herewith (ubmitted 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. 1�1� nn ,,fi�rr// ��jj �� // ..� /� Owner's Name and Address ... 0) G- 4 �..0 No.sSd Street ,( �a ` ' Registered Architect and /or gineer C �j (`,� EEmployg Electri ©6',s ^ 'a C / e,' (t4 � 1 No /7 . /Q .�. Street. Location andlegal cacriou n Lot...Dl�/ 1' /. Block 4 Subdivision... ..s. / 1/45 / �. Street and Number where work is to be performed— No.. .. ti. 7 /..(„1....5�„V�7' (Signed) (Signed Street. Voo Date.0I f State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories. service Overhead Size Peeders Conduit Main Sw Amps .Main Fuse Amps Underground Type of 'Installation -- Conduit Tubing B.X.L .Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w• to be •erformed u s 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 to me well known, and who, being by me first duly sworn, upon oath depose 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 lime, and that all facts therein by . statetOi��, LIC STATE OF FLORIDA - . NY COMMISSION EXP. JULY 4,1988 BONDED THRU GENERUL ICS. UNO. ` Mum Notary Public, State of Florida . made when such re-inspection is made necessary by improper notice foe inapection „or -faulty --V NO. STREET PART OF LOT LOT BL'K TOWN, ADDITION, OR SUBDIVISION / s► -� Other A p'aratus; ; , , 1:• ; • Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other A p'aratus; ; , , 1:• ; • Permit Fee dy ii 1 ELECTRICAL PERMIT Town of Miami Shores N. B. —This Permit must be on display on the premises during the construction. OFFICE OF ELECTRICAL DEPARTMENT Owner of Building.... - '# ` I «. ri - J Miami Shores, Florida, , 192 Contractor or Electrician PROPOSED LOCATION N° 199 • 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 the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. 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 / in the plans and 4pecifications unau- thorized by this Department. ,t': F • ;; 7frec =: ___ Electrical Inspector. _..... ..,,L. A. of the issuance -to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the Electrical Ordinances and Codes of the Town of Miami Shores, and all, rules and regulations .of the Electrical Department of the In consideration the Application and the State of Florida, all the Town of Miami Shores. Dated 192 (_; STRANGE PRINTING CO., MIAMI, FLA. • (Seal)