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550 NE 102 St (2)Permit No Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Date Q.r..,./ O (Signed) boN... V »b .....W ^ � 77 Application is hereby made for the approval of the detailed statement of the plane 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, Fiu: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. �,,,) Owner's Name and Address. .t e. 5 "" J . T• 6 No Street /ea,e°,/, Registered Architect and /or Engineer ' Employing Electrician's Name..A -l(i ... CT' /C t " No../3.p. p S / 0 Street t Location and Legal Description Lot Block Subdivision /,e Street and Number where work is to be performed —No. 1 y _ � Street... ..... 0t'� - State work to be performed and purpose of building (By Floors) . 141. � New Building st'' Remodeling Addition Repairs No. of Stories 2 �(� Servi n erground Size Feeders.. Conduit �� Main Sw O .Q. > 1 p Amps 2-00 Main Fuses �o E . 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 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 performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Amps STATE OF FLORIDA, COUNTY OP DADE. I j 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 LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER 11 W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST /// 111- - ���� 1'il-a0 �0 SW ��/� J'S + 2. / /j fll.� /j / A�C..7 0 /D K� /(' 575 CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST � /T� CHECK Permit No Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Date Q.r..,./ O (Signed) boN... V »b .....W ^ � 77 Application is hereby made for the approval of the detailed statement of the plane 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, Fiu: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. �,,,) Owner's Name and Address. .t e. 5 "" J . T• 6 No Street /ea,e°,/, Registered Architect and /or Engineer ' Employing Electrician's Name..A -l(i ... CT' /C t " No../3.p. p S / 0 Street t Location and Legal Description Lot Block Subdivision /,e Street and Number where work is to be performed —No. 1 y _ � Street... ..... 0t'� - State work to be performed and purpose of building (By Floors) . 141. � New Building st'' Remodeling Addition Repairs No. of Stories 2 �(� Servi n erground Size Feeders.. Conduit �� Main Sw O .Q. > 1 p Amps 2-00 Main Fuses �o E . 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 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 performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Amps STATE OF FLORIDA, COUNTY OP DADE. I j 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.