568 NE 102 St (9)Amount of Permit $ 1 / 0
I APPLICATION FOR ELECTRICAL PERMIT
Permit No 1 I ( Date
Application is hereby ma e 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 Electricians Name No Street
Location and Legal Description Lot Block Subdivision
Gf Street .....
1..
S S.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed —No
No Street
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
(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 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.
(Signed) // `-'
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE:
Before me, tl;e 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. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
UST
`)
�F•
9
` 1
I
CHECK
I S
'I V
si N /�
! f
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
D
/
CHECK
i 0 (7)
Amount of Permit $ 1 / 0
I APPLICATION FOR ELECTRICAL PERMIT
Permit No 1 I ( Date
Application is hereby ma e 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 Electricians Name No Street
Location and Legal Description Lot Block Subdivision
Gf Street .....
1..
S S.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street and Number where work is to be performed —No
No Street
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
(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 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.
(Signed) // `-'
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE:
Before me, tl;e 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.
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN
OPEN OR
Number of
Circuits
Outlets
Motor
Gen.
Main
Sub
Branch
asement—
irst
mond______
hird
ourth
ther Floors.
B
F
Si
T
F
0
n'ormYdG APPLICATION No.' '/
DATE , 192
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 be-
low, for which undersigned agrees to correct any infractions of the
National Electrical Code and the City Rules pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA-
TION WILL BE RETURNED
t
Lot Nwnber Block Number
Street and Number . ' / / Sid
,
Owner Occupant
Occupied as
Building —New or Old (underline which). Work — Additional or New (underline which).
SPECIFICATIONS
H. P. of each motor
Number of Motors H P • Volts _—Amps Phase
Outlets Motors Receptacles I Generators Stoves JWater Neaten Signs 1 Billboards 1 Other Apparatus
Received by Inspector
Greatest Number of Lights on One Branch
REMARKS •
Work will be started
Address
(Applicant sign here)
Street
CERTIFICATES
Progress
Will inspect again'
Rough Wiring \,
FINAL No
Corrected
Temporary Days
Approved Letter
Date Issued
SPACE BELOW FOR INSPECTORS USE ONLY
Time
Allowed
Correct Location
Correct Equip.
DEFECTIVE
Days
(Nature of Work) Open — Concealed Knob—MIdg.—Conduit
Will be finished
Inspected
Electric Light Co
Fee remitted
iemarks
___ __.Inspector
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa-
tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National
Electrical Code and the City Rules pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.
ALL SPACES MUST BE FILLED, OR APPLICATIO WILL BE RETURNED.
Lot Number 9 Block Number 9 .. ` A.�MM.
Street and . � ` 1--IN Number �. , a.h;.... �_.� � Side ..�.
Owner C&XsAtwt4-2•P n �M v, etik w_ U •- Occupant
Occupied as •
Building —New or Old (underline which). Work— Additional or New (underline which).
SPECIFICATIONS
FLOOR
Basement
1st Floor
2d Floor
3d Floor
4th Floor
5th Floor
6th Floor
7th Floor
8th Floor
Attic
REMARKS:
Work will be started ati
(Applicant sign here) VY..A,.�
Received by Inspector
Progress
Will Inspect Again
Rough Wiring
FINAL No.
Corrected
Temporary Days
Approved Letter
Date Issued
CERTIFICATES
FLORITl% PRINTING CO MIAMI FLA
NUMBER OF
LIGHTS
Form 155 P.O.30332 2 10 - 26 - 5M
Time
Allowed:
Date �'� , 192
FOR FIXTURE WORK ONLY
APPLICATION
CEILING OUTLETS
1 '1,
will be finished . V•4,
Address _._ - q-T!.- _fl.J .,•
Street
-t--
SPACE BELOW FOR INSPECTOR'S USE ONLY
• Inspected ._> ...-
Correct Location
Correct Equipment
DEFECTIVE
Days
{ 1 fl
t .tj
u u y
No.
BRACKET OUTLETS NUMBER OF CIRCUITS
Electric Light Co.
Fee remitted 0 J
Remarks:
, Inspector