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575 NE 87 St (4)BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 19 PERMIT 249 Contractor s ❑ License No. 0 ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description Bl. CONTRACTOR OR BUILDER Address of Building Subdi- vision Value of I! Amount of .,.. Project $ r 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 he 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. BY • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder ` Legal Lot Description I 131. Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 7741 Work to be performed under this Permit —. _ _ BY DATE Contractor's License No. 19 Subdi- vision Value of I' Amcunt of 2 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. s h Signed. _ — _INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances mad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to tho proper authorities of Miami Shores Village. In ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employed. AUTHORITY se01`T° APPLICATION FD Permit No /3 6> Owner's Name and Address Registered Architect and /or En ineer STATE OP FLORIDA, COUNTY OP DADE. I e8' MIAMI SHU( ES VILLAGE ELECTRICAL INSPECTION DEPAGuIMENT ELECTRMAL 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. Employing Electrician's Na . 16. tA L./Mx Location and Legal Description Lot lock _ Street and Number where work is to be performed —No - State work to be performed and purpose of building (By Floors s v ' No ...rc� Stree� c N . /7 New Building Remodeling Addition ` Repairs <" No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L .Metal Moulding C. ,t -- "" ..,--.- .... .. a T 7 Amount of Permit $ (Signed) r � G 6-- ( Z _ Ele cal Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiorls as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permn nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors ployed 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 wor s oh public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors work to be p?� o�' es nder this permit, as are licensed by Miami Shores Village. L J 0 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. (Signed 4.�. 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. Street,/ I s� Subdivision Street, z r 7 Master Electrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1•S HP N EON TRANS. / �J %_ �(/ RADIO TOTAL CONTR. LIST 20e)' 7 / CHECK APPLICATION FD Permit No /3 6> Owner's Name and Address Registered Architect and /or En ineer STATE OP FLORIDA, COUNTY OP DADE. I e8' MIAMI SHU( ES VILLAGE ELECTRICAL INSPECTION DEPAGuIMENT ELECTRMAL 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. Employing Electrician's Na . 16. tA L./Mx Location and Legal Description Lot lock _ Street and Number where work is to be performed —No - State work to be performed and purpose of building (By Floors s v ' No ...rc� Stree� c N . /7 New Building Remodeling Addition ` Repairs <" No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L .Metal Moulding C. ,t -- "" ..,--.- .... .. a T 7 Amount of Permit $ (Signed) r � G 6-- ( Z _ Ele cal Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatiorls as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permn nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors ployed 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 wor s oh public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors work to be p?� o�' es nder this permit, as are licensed by Miami Shores Village. L J 0 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. (Signed 4.�. 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. Street,/ I s� Subdivision Street, z r 7 Master Electrician. Owner's Name and Address 7 - r Registered Architect and /or Engineer.. ° Employing Electrician's 732.9-72-4-44 Location and Legal Description Lot State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, } COUNTY OF DADE. 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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. N o c ' - Street..? _S q '� - ..... .No 7 AStreet 4lock Subdivision Street and Number where work is to be performed —No... _ 5 Street Amount of Permit $ (Signed) - . , .... a 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 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. (Signed) � .. Master Electrician. 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 OUTLETS LIOHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Owner's Name and Address 7 - r Registered Architect and /or Engineer.. ° Employing Electrician's 732.9-72-4-44 Location and Legal Description Lot State work to be performed and purpose of building (By Floors) STATE OF FLORIDA, } COUNTY OF DADE. 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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. N o c ' - Street..? _S q '� - ..... .No 7 AStreet 4lock Subdivision Street and Number where work is to be performed —No... _ 5 Street Amount of Permit $ (Signed) - . , .... a 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 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. (Signed) � .. Master Electrician. 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMaT Permit No - 7 ? 7 C� 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. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE 3 SS. My Commission Expires (Signed) (Signed) No N Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name i i a . 4 I - . e ` j / t n f - No (� � ll� lS7 r t' 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 Street... f ( IA Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground P p Type rlf Installation — Conduit Tubing B.X.L Metal Moulding.... Electric .,i Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanel' Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emJ oyed 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 a performed under this permit, as are licensed by Miami Shores Village. �2 Notary Public, State of Florida Master Electrician. 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•T's FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE Her 'ER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TC . i P. SERVICE PERM. MOTOFF,^, 0.1 HP :s.'.OTORS 1.5 HP NECK TRANC. RADIO TOTAL CONTR. LIST CHECK ' Jt75t7' // 41r---/. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMaT Permit No - 7 ? 7 C� 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. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE 3 SS. My Commission Expires (Signed) (Signed) No N Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name i i a . 4 I - . e ` j / t n f - No (� � ll� lS7 r t' 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 Street... f ( IA Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground P p Type rlf Installation — Conduit Tubing B.X.L Metal Moulding.... Electric .,i Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanel' Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emJ oyed 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 a performed under this permit, as are licensed by Miami Shores Village. �2 Notary Public, State of Florida Master Electrician. 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. APPLICATION FOR ELECTR9CAL PERMIT Date. .... ...�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewit ubmitted 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. ... l0-4 No c . c' Street Registered Architect and /or Engineer.. Employing Electrician's NamY_- 7 Permit No Service New Building Type of Installation 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) verhea • Size Feeders (7M(fr duit Main Sw A mps Main Fuses �l 43c") Amps n•erground ffir B.X.L Metal Moulding STATE OF FLORIDA, , l COUNTY OF DADE. I 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Remodeling Addition Repairs No. of Stories i . Block P� subdivision-//?w//1 cSC C' * Street<.i 1–' c7 Amount of Permit $ ' (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a fepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors for 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 sub•contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. N ••M 7 (Signed).. �) �✓ ...: Master Electrician. 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 OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST •, J / // CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / / /® / CHECK APPLICATION FOR ELECTR9CAL PERMIT Date. .... ...�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewit ubmitted 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. ... l0-4 No c . c' Street Registered Architect and /or Engineer.. Employing Electrician's NamY_- 7 Permit No Service New Building Type of Installation 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) verhea • Size Feeders (7M(fr duit Main Sw A mps Main Fuses �l 43c") Amps n•erground ffir B.X.L Metal Moulding STATE OF FLORIDA, , l COUNTY OF DADE. I 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Remodeling Addition Repairs No. of Stories i . Block P� subdivision-//?w//1 cSC C' * Street<.i 1–' c7 Amount of Permit $ ' (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and a fepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Law of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors for 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 sub•contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. N ••M 7 (Signed).. �) �✓ ...: Master Electrician. 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. MIAMI SHiAES VILLAGE ELECTRICAL INSPECT! s DEPA'MENT APPLICATION FOR ELECTRICAL PERMIT Permit No / 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.. � Owners Name and Address ,,77 co / .4'Y No Street Registered Architect and /or En ineer Employing Electrician's Name /CI4 /4d✓/ ... ST No.../._ 9 9 Street t'� ,e3� Location and Legal Description Lot Block Subdivision .1._ Street and Number where work is to be performed— No.. s J State work to be performed and purpose of building (By Floors) .�./.c,f '2C 274 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Am P s Main Fuse Am s Underground P Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ Y..l• (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 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 sub•contractors,N work to be performe under this permit, as are licensed by Miami Shores Village. (Signed) Street? 6 J> 7 ' al b / e 'e'Se 0.4 . A c 7;4 / o Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I &s. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to one 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 H EATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAD. SERVICE TEMP. SERVICE PERM. �/ / i eE �' CGt- MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST r 3 , , '�, / /1/6.9-- i - i CHECK ;2 MIAMI SHiAES VILLAGE ELECTRICAL INSPECT! s DEPA'MENT APPLICATION FOR ELECTRICAL PERMIT Permit No / 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.. � Owners Name and Address ,,77 co / .4'Y No Street Registered Architect and /or En ineer Employing Electrician's Name /CI4 /4d✓/ ... ST No.../._ 9 9 Street t'� ,e3� Location and Legal Description Lot Block Subdivision .1._ Street and Number where work is to be performed— No.. s J State work to be performed and purpose of building (By Floors) .�./.c,f '2C 274 New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Am P s Main Fuse Am s Underground P Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ Y..l• (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 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 sub•contractors,N work to be performe under this permit, as are licensed by Miami Shores Village. (Signed) Street? 6 J> 7 ' al b / e 'e'Se 0.4 . A c 7;4 / o Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I &s. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to one 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. APPLICATION FOR ELECTRbUAL PERMIT Permit No.... /#2 & STATE OF FLORIDA, l COUNTY OF DADE. I E8. MIAMI SH [ ES VILLAGE ELECTRICAL INSPECTDON DEPAWTMENT WA - -S (Signed)... Amount of Permit $ (Signed) Date _ e. / 7 6 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. o Owner's Name and Address 4 1 ®,,.-- Iii m &/ No 7476 Street Registered Architect and /or E n ineer._.(. 7../E-6/ , Employing Electrician's Nam .�.C..t� ._. / / L 1.f.1..W 0 7 q e Street. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 6 7 s" S et /l/ j2 State work to be performed and purpose of building (By Floors) . /1.7,6"ii �� ' New Building Remodeling Addition Repairs No. of Stories. Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p 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, work to be performed u der this permit, as are licensed by Miami Shores Village. Master Electrician. 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 OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WAVER H EATER W. H EAT. CONN. SPACE HEATER STRIP H EATER TOTAL CONTR. LIST CHECK E NT. SW. OIBT. CAB, SERVICE TEMP. SERVICE PERM. ' M OTORS 0.1 HP MOTORS 1.8 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRbUAL PERMIT Permit No.... /#2 & STATE OF FLORIDA, l COUNTY OF DADE. I E8. MIAMI SH [ ES VILLAGE ELECTRICAL INSPECTDON DEPAWTMENT WA - -S (Signed)... Amount of Permit $ (Signed) Date _ e. / 7 6 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. o Owner's Name and Address 4 1 ®,,.-- Iii m &/ No 7476 Street Registered Architect and /or E n ineer._.(. 7../E-6/ , Employing Electrician's Nam .�.C..t� ._. / / L 1.f.1..W 0 7 q e Street. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 6 7 s" S et /l/ j2 State work to be performed and purpose of building (By Floors) . /1.7,6"ii �� ' New Building Remodeling Addition Repairs No. of Stories. Service Overhead on Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground p 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, work to be performed u der this permit, as are licensed by Miami Shores Village. Master Electrician. 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. Permit No �� ® Ve 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 But.ding Ordinance of Miami Shores Village, Flu: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 plane and specifications must be kept at building during progress of work Owner's Name and Address No 1Y Registered Architect and /or Engineer Employing Electrician's Name ... m . 11 It 1 TA(C,C Ccfyr Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 5 I F7 Street S' my u` ticc‘q State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ STATE OF FLORIDA, I l COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT es. APPLICATION FOR ELECTRICAL PERMIT No 201c If t !"Street ( Signed) M c bRA The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. (Signed) Date... ij f - Street 0;2_ 7(' /f' :7 iii Electrical Inspector. ccepts his obligations u an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. 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 lie 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•inepection 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 OU LIGHT OUTLETS PLUO RECE•►'T'S FIXTURES NO LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO - TOTAL CONTR. LIST CHICK . Permit No �� ® Ve 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 But.ding Ordinance of Miami Shores Village, Flu: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 plane and specifications must be kept at building during progress of work Owner's Name and Address No 1Y Registered Architect and /or Engineer Employing Electrician's Name ... m . 11 It 1 TA(C,C Ccfyr Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 5 I F7 Street S' my u` ticc‘q State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ STATE OF FLORIDA, I l COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT es. APPLICATION FOR ELECTRICAL PERMIT No 201c If t !"Street ( Signed) M c bRA The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. (Signed) Date... ij f - Street 0;2_ 7(' /f' :7 iii Electrical Inspector. ccepts his obligations u an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. 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 lie 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•inepection 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ��� :t 1C S 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, 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 plane and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electriciati's Name''- p d���� – EL '�' 1 No ` Street c"s a: 1I SAC iv �S Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � Street N .0( - -..", � State work to be performed and purpose of build' K (By Floors) m ode lin Addition Re airs No. of Stories Permit No New Building Re g P terviu Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation Pfd 'lilt :..._;..,. : Tubing B.X.L .Metal Moulding , 'G� 0 L'..nl.; .;1 S — Pu 1 iNLL AL, ?L , c.)ili LI,L S i P Amount, f Permit $ ° ( Signed)..... ?'.`.l..v....?i: ........ 6 w ji � Electrical Inspector. l51 — \ k71� The un applicant for this building permit does hereby certify that he understands and accepts his obligations u 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-con ctors 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 or such public notice or notices as are required by the Act. The undersigned agrees to employ only such su ntractors,_ on _ r d under this permit, as are licensed by Miami Shores Village. l U STATE OF FLORIDA, 1 COUNTY OF DADE. as. (Signed No ~� • to administer oaths and take ( % �, -� -71 - 2 —�� ' ; V Street N1 • IC'7 , 63/5.5) L _. Muter Electrician. 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 facto 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' ►'T8 FIXTURES NO. LAMPS REFR10. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STR HEATER r: : - Z:� IJ 1L. & rr .....1 � :y_ TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. Svt=; , la' , A FA ,.,^.t:L M OTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CO LI CHECK . MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ��� :t 1C S 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, 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 plane and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electriciati's Name''- p d���� – EL '�' 1 No ` Street c"s a: 1I SAC iv �S Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � Street N .0( - -..", � State work to be performed and purpose of build' K (By Floors) m ode lin Addition Re airs No. of Stories Permit No New Building Re g P terviu Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation Pfd 'lilt :..._;..,. : Tubing B.X.L .Metal Moulding , 'G� 0 L'..nl.; .;1 S — Pu 1 iNLL AL, ?L , c.)ili LI,L S i P Amount, f Permit $ ° ( Signed)..... ?'.`.l..v....?i: ........ 6 w ji � Electrical Inspector. l51 — \ k71� The un applicant for this building permit does hereby certify that he understands and accepts his obligations u 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-con ctors 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 or such public notice or notices as are required by the Act. The undersigned agrees to employ only such su ntractors,_ on _ r d under this permit, as are licensed by Miami Shores Village. l U STATE OF FLORIDA, 1 COUNTY OF DADE. as. (Signed No ~� • to administer oaths and take ( % �, -� -71 - 2 —�� ' ; V Street N1 • IC'7 , 63/5.5) L _. Muter Electrician. 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 facto 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. Permit No.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith'submitted for the building 01 other structure herein described. Thie 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 Registered Architect and /or Engineer / Employing Electrician's Name..C.� rozA)A. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Data f 44) �_1-; � 4 ! Ll .No streets 75' " e' s� N sm./ 6W c:5 Location and Legal Description Lot Block Subdivision Street Street and Number where work is to be performed —No Street 5- ' -' E / �^ Sate work to be performed and purpose of building (By Floors) CA ,v— Ne- ea Building Remodeling � Addition Repairs No. of Stories Arz_e 57,4 Service Overhead Size Feeders Conduit Main Sw m Ags Main Fuses Amps Underground und Type of Installation — Conduit Tubing B.X.L .Metal Moulding Notary Public, State of Florida Master Electrician. Amount of Permit $•. (Signed) Electric.al 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 3966, 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. 7 (Signed) ,- :h . . -1 . !/L2 STATE OF FLOP -IDA, 14u COUNTY OF DADE. f 5�d P' nuo if:n cat :3d r. j :C t? Before Pie., the undersigned authority, a nota ry` b 114; 2 )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 ,aye 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 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 PLUO RECE'P'T'8 FIXTURES No. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK e ENT. SW. DIET. CAD. SERVICE TEMP. SERVICE PERM. / MOTORS 0.1 HP MOTORS 1.13 HP NEON TRANS. RADIO TOTAL CONTR. LIST r CK Permit No.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith'submitted for the building 01 other structure herein described. Thie 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 Registered Architect and /or Engineer / Employing Electrician's Name..C.� rozA)A. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Data f 44) �_1-; � 4 ! Ll .No streets 75' " e' s� N sm./ 6W c:5 Location and Legal Description Lot Block Subdivision Street Street and Number where work is to be performed —No Street 5- ' -' E / �^ Sate work to be performed and purpose of building (By Floors) CA ,v— Ne- ea Building Remodeling � Addition Repairs No. of Stories Arz_e 57,4 Service Overhead Size Feeders Conduit Main Sw m Ags Main Fuses Amps Underground und Type of Installation — Conduit Tubing B.X.L .Metal Moulding Notary Public, State of Florida Master Electrician. Amount of Permit $•. (Signed) Electric.al 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 3966, 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. 7 (Signed) ,- :h . . -1 . !/L2 STATE OF FLOP -IDA, 14u COUNTY OF DADE. f 5�d P' nuo if:n cat :3d r. j :C t? Before Pie., the undersigned authority, a nota ry` b 114; 2 )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 ,aye 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 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.