5285BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATSi00 fy
PERMIT N? 5285 Contractor's
License No
Work to be performed under this Permit 4a I � " 01)1 °
f} R 4.16R if 1.N G—
Architect°
Contr for ' f�.
or )deri4 �J A e c•• h q.+
Legal Lot BL
Description
Address of / „+ �� Value of Amt. of
Building YJ �" j J Project Permit•
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or d` ce clfescribed in the appli-
cation 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
out authorization. -A further condition upon which this
bi t) or a thorough knowledge of e or. ' nces and
nts or specifications :and ! , : �+� +'`• s respon
Subdi-
vision
at any tune if the work is not done in compliance with such ordinances or if the plans • chan
permit is granted is the understanding that the contractor or builder named above
regulations pertaining to the work covered hereby whether shown on the plans
sibility for work done by his agents, servants or employees.
In consideration of the issuance to me of this permit I agree to perform the w. a: •ered e. reunder in compliance with aliordinances and se
pertaining thereto and in strict conformity with the plans, drawings, statements or sp catio submitted to the proper authoMMII Miami Shoi'!ss
In acc ting this permit assume responsibiliiR for all work done by either myself, my agent, servant or employee.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.._-- __�! ___v �_� - - -- Date ii: 2 - 4 7
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 W1.1_ ,Y6 No.__ 17 7 �__ , Street /V
Registered Architect and /or Engineer
Employing Electrician's Name /,Ell____ 1 /d9 ". .0"
Street__
Location and Legal Description Lot_ _____ ________ — ___________ BIock ___ _ Subdivision________
; R M r /id /Pi S
.. _- ____ --_
7 2,.. /vi. k ,1.
State work to be performed and purpose of building (By Floors)
New Building Remodeling _ Addition..____ A
Street and Number where work is to be performed —No
No. of Stories_____.____
Service
Overhead Size Feeders
Underground
f
Conduit__ . Main Sw Amps. Main Fuses__._. Amps.
Type of Installation — Conduit_____________ Tubing B.X.L.___,_______Metal Moulding
Amount of Permit $ _ L
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that • e understands and accepts bis 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 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)
STATE OF FLORIDA, )
COUNTY OF DADE. f s'
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 be 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.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T's
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
- TOTAL
=
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Service
Overhead Size Feeders
Underground
f
Conduit__ . Main Sw Amps. Main Fuses__._. Amps.
Type of Installation — Conduit_____________ Tubing B.X.L.___,_______Metal Moulding
Amount of Permit $ _ L
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that • e understands and accepts bis 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 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)
STATE OF FLORIDA, )
COUNTY OF DADE. f s'
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 be 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.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contra
der
Legal
Description
ERMIT N° 5285
Coutr:
Lcens
Address of Value of
Building ' " "' Project
This permit is granted to contractor or builder named above to construct the building or t
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding
plans, drawings, statements or specifications that may have been submitted to and approved by the p
at any time if the work is not done, in compliance with such ordinances or if the plans ar ch
permit is granted is the understanding that the contractor or builder named above as
regulations pertaining to the work covered hereby whether shown on the plans
sibility for wgrk done by his agents, servants or employees.
Subdi-
vision
Signed:
In consideration of the issuance to me of this permit L agree to perform the w.
pertaining thereto and in strict conformity with the plans, drawings, statements or spec
In acne + r g this permit , assume responsibility for all work done by either myself, my age