293 NE 100 St (2)JOB: AD:
BUILDING
ELECTRICAL
PLUMBING
/ •
1
Inspector's Report: -
2 4
•
• WORK .
• DONE BY
REQUESTED
•
•
•
• _7 /7
•
The following is ready for Inspection:
(
•
7
WILL BE READY
4/
Permit No S.'2 ___
Owner's Name and Addres i a ° - -= �
Registered Architect and /or Engine � g��
./ "�"
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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.
'• �' tt-6I d Street
Employing Electrician's Name
No. '6 T I!? Street
Location and Legal Description Lot_ _____ __ ° lotk 3 Subdivision_
--------------------------------------------
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
55.
My Commission Expires
Addition
(Signed
Street and Number where work is to be performed —No F a � __ _ 'i° Street
State work to be performed and purpose of building (By Floors)
New Building______________ Remodeling
Repairs No. of Stories
Service Overhead Size Feeders/I/1_72 Conduits Main Sw.___
Underground e Amps. Main Fuses_4(L.0 _____
_____Amps.
Type of Installation — Conduit Teti" B.X.L. Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 9 I,igations 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, work to be performed under this permit, as are
licensed by Miami Shores Village.
( er
Master Electrican.
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.
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
O OU UT — L r ET TS S
L d
LIGHT
— OU
/ /YI
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR. LIST
!
/ °
/
f ...
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
-�
CONTR.
LIST
CHECK
Permit No S.'2 ___
Owner's Name and Addres i a ° - -= �
Registered Architect and /or Engine � g��
./ "�"
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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.
'• �' tt-6I d Street
Employing Electrician's Name
No. '6 T I!? Street
Location and Legal Description Lot_ _____ __ ° lotk 3 Subdivision_
--------------------------------------------
Amount of Permit $_
STATE OF FLORIDA,
COUNTY OF DADE.
55.
My Commission Expires
Addition
(Signed
Street and Number where work is to be performed —No F a � __ _ 'i° Street
State work to be performed and purpose of building (By Floors)
New Building______________ Remodeling
Repairs No. of Stories
Service Overhead Size Feeders/I/1_72 Conduits Main Sw.___
Underground e Amps. Main Fuses_4(L.0 _____
_____Amps.
Type of Installation — Conduit Teti" B.X.L. Metal Moulding
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 9 I,igations 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, work to be performed under this permit, as are
licensed by Miami Shores Village.
( er
Master Electrican.
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.
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.
BUILDING
ELECTRICAL
PLUMBING
J
Inspector's Report: -
•
WORK
• DONE BY
•
• REQUESTED
The following following is ready for Inspection:
AD: `; 7 3 a
f •
WILL BE READY