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ELECTRICAL PERMIT-1 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE "' 44 "y 19 PERMIT 0 Legal Lot Description ,B1 --2/ -2 7 . . c- �% f . ' . Address of � - -- Building ` - CONTRACTOR OR BUILDER N9 5288 Contractor's License No. W � Work to be performed under this Permit.— Subdi- vision Value of I Amount of '} Project $ Permit $ 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 applica- tion 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 or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. t , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with elk *dlnances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mianitihores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY My Commission Expires 4 , 1 l MIAMI SHOS VILLAGt ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Pe o 77- Date I 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 ordin ces of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether he specified or not. A copy of approved plans and specifications must be kept at building during progress of w d LZ Owner's Name and Address 9/ 7 Street /V .f Registered Architect and/or E • ineer .... � .. _... Employing Electrician's Name . .. o i 4 Street i 6 •Seic- Location and Legal Description Lot Block Subdivision 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 Amount of Permit $ (Signed) Notary Public, State of Florida Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding ctrieal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons 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•contractora 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 licensed by Miami Shores Village. �� G STATE OF FLORIDA, l COUNTY OF DADE. Jj 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 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'7'8 FIXTURES No. LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. AC[ H ATER STRIP HEATER TOTAL CONTR. LIST CHECK SW. Sw. DIET. CAB. TE TEMP. SERVICE PERM. A. ,9.1- 7 6 r ` MOTORS 0.1 HP I.5 HP 1.8 HP RANS TRANS. RADIO TOTAL CONTR. LIST CHECK My Commission Expires 4 , 1 l MIAMI SHOS VILLAGt ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Pe o 77- Date I 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 ordin ces of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether he specified or not. A copy of approved plans and specifications must be kept at building during progress of w d LZ Owner's Name and Address 9/ 7 Street /V .f Registered Architect and/or E • ineer .... � .. _... Employing Electrician's Name . .. o i 4 Street i 6 •Seic- Location and Legal Description Lot Block Subdivision 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 Amount of Permit $ (Signed) Notary Public, State of Florida Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding ctrieal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ons 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•contractora 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 licensed by Miami Shores Village. �� G STATE OF FLORIDA, l COUNTY OF DADE. Jj 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 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.