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573 NE 102 St (6)Permit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT p' Date z F— a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :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., rev/ MIAMI SHORES VILLAGE No 51 .1/. street .� Registered Architect and /or Engineer ¢¢// 1 / Employing Electrician's Name` 'f .& . . a r �- , No. //2Y/ ./ e I Street. ..0 2 �d 13P/ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 513 >/ --7-,, Street Z S State work to be performed and purpose of building (By Floors) Sir ✓ /C e T4 ie T'' 4) /52) .C4-' New Building Remodeling Addition round Site Feeders... &.,, Conduit& Main Sw / 5-4 ' ) Type of Installation -- Conduit Tubing t B.X.L .Metal Moulding STATE OF FLORIDA, COUNTY OP DADE. f 'VA-UM 5,61 Repairs No. of Stories I Amount of Permit 8...(J.�..) (Signed) M +�` 1' 9 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 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 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. My Commission Expires (Signed) Amps Main Fuses Amps to administer oaths and Master Electrician. take acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized 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. Notary Public, State of Florida NOTE: A re-inspection fee of 81.00 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 RErRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE NEATER STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -S HP N EON TRANS. RADIO TOTAL CONTR. LIST .� / 47 /// CHECK Permit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT p' Date z F— a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv :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., rev/ MIAMI SHORES VILLAGE No 51 .1/. street .� Registered Architect and /or Engineer ¢¢// 1 / Employing Electrician's Name` 'f .& . . a r �- , No. //2Y/ ./ e I Street. ..0 2 �d 13P/ Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 513 >/ --7-,, Street Z S State work to be performed and purpose of building (By Floors) Sir ✓ /C e T4 ie T'' 4) /52) .C4-' New Building Remodeling Addition round Site Feeders... &.,, Conduit& Main Sw / 5-4 ' ) Type of Installation -- Conduit Tubing t B.X.L .Metal Moulding STATE OF FLORIDA, COUNTY OP DADE. f 'VA-UM 5,61 Repairs No. of Stories I Amount of Permit 8...(J.�..) (Signed) M +�` 1' 9 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 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 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. My Commission Expires (Signed) Amps Main Fuses Amps to administer oaths and Master Electrician. take acknowledgments, personally Before me, the undersigned authority, a notary public, duly authorized 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. Notary Public, State of Florida NOTE: A re-inspection fee of 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date V 1,(;,r Application is hereby made for the approval of the detailed statement of the p ans and specifications herewith submitted for the building or other structure herein described This ar plication is made in complia . and conformity with the Building Ordinance of Miami Shores Village, Florida, and all ro isions of the Laws of the State of Flora all ordinances Miami Shores Village and all Pules and regulations of th•' Building Division of Miami Shor Village shall be complied with, whe.her he ein spew ied or not. A copy of approved plans and specifications must be kept at building during ,ogress of Permit No.. .. ( 1? .. Owner's Name and Address. Registered Archi ect " ^d;'or Engin, er . ..... .. _. ... Employing Electrician s Name. i -'tr 1 Location and Legal Descriptioi of .. ..... . Block.. . ... .. .. . Street and Number where work is to be performed —No . State work to be perfo.med and purpose of building (By Floors) New Building .......... ... Remodeling._ Service Overhead Size Feeders . .Co iduit.. Main Sw Amps. ....Main uses Underground P ...• .. . Type of In 'on— Condyit.. Tubing.. 9 .. .B.X L .,. .M Moulding. OG7. . Amount of Permit $ . . STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE Addition No .Street. (Signed) : :el Inspector. The and rs'gned applicant for t it building permit doer hereby certify that he understands and accepts his obli �i s as an employer of ,abo und- r the Flo;da Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida P ‘anent Supplement, and has ompl'_d ith the provisions thereof. and will require similar compliance from all contractors or subcontractors employed by him in the work to be p ',formed under this permit; and will post o cause to be posted for inspection on the site of the wo k sue public notice or notices as are requir d b the Act The undersigne d agrees to iplo; only such sub contractors, on work to be :._rfor., ed under this permit, as are ' by Miami Shores Village (Signed) . .Street. .Street. Subdivision. My Commission Expires Notary Public, State of Florida Repairs.._ No. of Stories Master Ele• r'• an .Amps 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 construLtion, and he h, carefully read the foregoin 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 workma :ship. SWITCH OUTLETS LICH' OUTL: b PLJO REC •P•T'S FIXTURES NO LAMPS REFRIO. OIPTL ET IRON OUTLET RANCE OUTLET RANGE CONN. WATHR HEATER W. HEAT. CONN. SPACE HEA':ER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. S+ DISY. . SE. V CE T: 'MP. SERVIC:? PERM MOTORS 0.1 HP MOTORS 1.3 HP N IRAN ^. R . DIO TOTAL CONT LI T CHE K ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date V 1,(;,r Application is hereby made for the approval of the detailed statement of the p ans and specifications herewith submitted for the building or other structure herein described This ar plication is made in complia . and conformity with the Building Ordinance of Miami Shores Village, Florida, and all ro isions of the Laws of the State of Flora all ordinances Miami Shores Village and all Pules and regulations of th•' Building Division of Miami Shor Village shall be complied with, whe.her he ein spew ied or not. A copy of approved plans and specifications must be kept at building during ,ogress of Permit No.. .. ( 1? .. Owner's Name and Address. Registered Archi ect " ^d;'or Engin, er . ..... .. _. ... Employing Electrician s Name. i -'tr 1 Location and Legal Descriptioi of .. ..... . Block.. . ... .. .. . Street and Number where work is to be performed —No . State work to be perfo.med and purpose of building (By Floors) New Building .......... ... Remodeling._ Service Overhead Size Feeders . .Co iduit.. Main Sw Amps. ....Main uses Underground P ...• .. . Type of In 'on— Condyit.. Tubing.. 9 .. .B.X L .,. .M Moulding. OG7. . Amount of Permit $ . . STATE OF FLORIDA, } COUNTY OF DADE. ss. MIAMI SHORES VILLAGE Addition No .Street. (Signed) : :el Inspector. The and rs'gned applicant for t it building permit doer hereby certify that he understands and accepts his obli �i s as an employer of ,abo und- r the Flo;da Workmen's Compensation Act being Section 5966, Compiled General Laws of Florida P ‘anent Supplement, and has ompl'_d ith the provisions thereof. and will require similar compliance from all contractors or subcontractors employed by him in the work to be p ',formed under this permit; and will post o cause to be posted for inspection on the site of the wo k sue public notice or notices as are requir d b the Act The undersigne d agrees to iplo; only such sub contractors, on work to be :._rfor., ed under this permit, as are ' by Miami Shores Village (Signed) . .Street. .Street. Subdivision. My Commission Expires Notary Public, State of Florida Repairs.._ No. of Stories Master Ele• r'• an .Amps 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 construLtion, and he h, carefully read the foregoin 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 workma :ship. 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 C L • __. !!. °� No ,1 — _. Stteet f l.� __1 _f == :•Y Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs —___ No. of Stories ‘1 Permit No.. __ APPLICATION FOR ELECTRICAL PERMIT Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $________________ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. appeared ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized __Block Main Sw._____ __ Amps. B.X.L. Metal Moulding (Signed) rtify that 4e hinderstands and accepts his obligatio Compiled General Laws of Florida Permanent upplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 1Li! -- 1! • - - -- ` f/ Cam' Master Electrican. No Street Street Notary Public. State of Florida Main Fuses__ _ _ Amps. trical Inspector. an employer of labor to administer oaths and take acknowledgments, personal to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all 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 materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO. LAMPS REFRIG. OUTLET I RON OUTLET RANGE RANGE OUTLET CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP 'N NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK \ 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 C L • __. !!. °� No ,1 — _. Stteet f l.� __1 _f == :•Y Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition. Repairs —___ No. of Stories ‘1 Permit No.. __ APPLICATION FOR ELECTRICAL PERMIT Service Overhead Size Feeders Conduit Underground Type of Installation— Conduit Tubing Amount of Permit $________________ The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. appeared ss. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized __Block Main Sw._____ __ Amps. B.X.L. Metal Moulding (Signed) rtify that 4e hinderstands and accepts his obligatio Compiled General Laws of Florida Permanent upplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) 1Li! -- 1! • - - -- ` f/ Cam' Master Electrican. No Street Street Notary Public. State of Florida Main Fuses__ _ _ Amps. trical Inspector. an employer of labor to administer oaths and take acknowledgments, personal to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all 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 materials and /or workmanship. • MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFI S THAT the wing and apparatus installed at St/93 by (4 owner, and occupied as / for 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 Other Apparatus Address H P. Space Heaters watts BUILDING ELECTRICAL PLUMBING Owner of Building ; A Architect Contractor or Baader [' A. .:---,-^' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1006 Work to be performed under this Permit Value of Project Subdi- vision DATE Contractor's License No. !' Legal Lot / 7b : . Bl = ` ' Description i ,r' '- / -' Address of / Building ,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 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 specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: r ,•; 1 'Lit** ty � INSPECTOIC 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 pertai g thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village!' It this per it I assume responsibility for all work done by either myself, my agent, servant or employee. Amt. of Permit ! ;". , BY AUTHORITY 194 JOB: A\ ot..4 BUILDING ELECTRICAL : PLUMBING Inspector's Report: •- : WORK : DONE BY: : REQUESTED READY • • • • • AD: The following is ready for Inspection: - 40 JOB: AD: 5 2,3 BUILDING ELECTRICAL : PLUMBING The following is ready for Inspection: - Inspector's ,Report: .. • • ; WORK : DONE BY: • : REQUESTED READY • • • • • • • • 7 building during progress of work. Location and Legal Description Lot__ Amount of Permit $_ ___ STATE OF FLORIDA, COUNTY OF DADE. ss. J MIAMI SHORES VILLAGE ° ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Owner's Name and Address : * .._ y r — No.___ Street Registered Architect and /or Engineer }_ Employing Electrician's Name _ = ", ( No ,° " (� „'. y Street Street and Number where work is to be performed —No Street _,— State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Underground Size Feeders C onduit I r 'P Main Sw Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding 6 -- -------- __--- - -____ _—_ _ _ (Signed) Block Subdivision______ _______________________________ ElectrigId'spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his of 'ations 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. (Signed) 44.) 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. My Commission Expires Notary Public, State of Florida Master Electrican. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T FIXTURES NO.LAM PS REFRIG, OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST 4w ..$ ' # a � • ,..,., . 6 , . . . a CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP ' MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK building during progress of work. Location and Legal Description Lot__ Amount of Permit $_ ___ STATE OF FLORIDA, COUNTY OF DADE. ss. J MIAMI SHORES VILLAGE ° ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Owner's Name and Address : * .._ y r — No.___ Street Registered Architect and /or Engineer }_ Employing Electrician's Name _ = ", ( No ,° " (� „'. y Street Street and Number where work is to be performed —No Street _,— State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Underground Size Feeders C onduit I r 'P Main Sw Amps. Main Fuses Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding 6 -- -------- __--- - -____ _—_ _ _ (Signed) Block Subdivision______ _______________________________ ElectrigId'spector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his of 'ations 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. (Signed) 44.) 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. My Commission Expires Notary Public, State of Florida Master Electrican. 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. APPLICATION FOR ELECTRICAL PERMIT Permit No __ r _ 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 compkl with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of jk. Amount of Permit $ -- My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Owner's Name and Addre Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories Block Street �. �'L1 Service Size Feeders 1 Conduit Main Sw. . Amps. ' "' Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L.______________.Metal Moulding (Signed) ElectriS�r}` Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations 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. (Signed) •• c • • No 5 73 Street Subdivision_ Notary Public. State of Florida Master Electrican. —`3,. ------ ----- - - ---- 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 be 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 j' ,� TS LIGHT OUTLETS PLUG RECE'P FIXTURES NO.LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 3 1 Z 1 CHECK V ✓ f / Ir .-- P— ENT SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS I -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No __ r _ 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 compkl with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of jk. Amount of Permit $ -- My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Owner's Name and Addre Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot____ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs No. of Stories Block Street �. �'L1 Service Size Feeders 1 Conduit Main Sw. . Amps. ' "' Main Fuses Amps. Underground Type of Installation— Conduit Tubing B.X.L.______________.Metal Moulding (Signed) ElectriS�r}` Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations 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. (Signed) •• c • • No 5 73 Street Subdivision_ Notary Public. State of Florida Master Electrican. —`3,. ------ ----- - - ---- 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 be 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.