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6267((a r'�(c-`,1._ /@e / c / r „t .L e „d( ,.'M.VAM! y to-ti ELECTRICAL .. APPLICATION Permit N F SHORES O RES VI LLAC INSPECTION DEPARTMENT FOR ELECTRICAL 1 LlCam" '° P am, A y- / E ERMIT r D o a Application is hereby made for the approval of the detelled structure herein described. is application is made in and all provisions of the awe of the State of Florida, all of Miami Shores Village shall be complied with whetter building during progress of work. ® Owner's Name and Address statement of the plans and specifications compliance and conformity with the Building ordinances of Miami Shores Village and all sales herein specified or not. A copy of approved No b 1 herewith submitted for the building or other Ordinance of Miami Shores Village, Florida, and regulations of the Building Division plans and specifications must be kept at Str ' Registered Architect and /or Engineer Employing Electrician's Name l� � . ,\� ,t No C , Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed -N¢ State work to be performed and purpose of building Ne't Building Remodeling Street (Bly Floors) Addition..___ Repairs No. of Stories SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFR OUTLET O IRON OUTLET RANGE RANGE OUTLET CONN. WATER HEATER W HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. Us"' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE. PERM. MOTORS ;O -1 HP MOTORS 1 -8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK - { Service Size Feeders L Conduit Conduit Main Sw. Ma Main Fuses Amps. Underground Type of Installation — Conduit_ Tubing _ B.X.L. Metal Moulding Amount of P .,'t $ it �; .�. 6°' At le( ' ��^�) ,(9 Signed) The undersig , • applicant for this building permit under the Florida Wo kmen's Compensation Act, being plied with the provisions thereof, and will require s' performed under this permit; and will post or cause toIbe required by the Act. The under signed agrees to eniilby licensed by Miami Shores Village. Electrical Inspector, does hereby certify that he understands and accepts his obligations as an employer of la'6or tion 5966, Compiled General Laws of Florida Permanent Supplement, and has com- r compliance from all contractors or sub -co tractors employed by hire in the work to be posted for inspection on the site of th work such public notice or notices as are only such sub -cont , • rs, on work performed under this permit, as are r r.----,.,,, f S., STATE OF FLORIDA, } COUNTY OF DADE. es. Before - me, the undersigned authority, a notar appeared Master Electrican.\ public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly s4'Orn, of the above described construction, that he has Cate therein by him stated are true. upon oath deposes and says that he is the 111ly read the foregoing application, and t he did sign the same, and that all facts My Commission Expires NOTE: A re- inspection fee of $1.00 will be ,,a materials and /or workmanship. 11 Notary Public. State of Florida ie when such re-inspection is made netessa by improper notice for inspection, or faulty BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE Contractor? a, License Work t performed under this Permit {y Owner of Building ,. - ",•i�` -d%� 1 [ '} �. '+� }"- "" i PPERMI'T N° 6267 1948 Architect Contractor or Builder Legal Lot Description Bl. Subdi- vision Address of (b. Value of Building r r► Project This -permit is �' ' #- above to construct the building or to install the equi ment or device described in the appli- cation herefo r p ante with a ordinances • ertaining 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 or a thorough knowledge of the antes and regulations pertaining to the work covered hereby whether shown on the plans o ' drags or in star em nts or spec fi ons and that he`ass es respon- sibility for work done by his agents, servants or employees. Signed. I A` }'r By INSP In consideration of the issuance to me of this permit I agree to p the work covered hereunder in compliance with all ordinances and re�gguktions pertaining thereto and in strict conformity with the _plans, drawings, s ements or specifications submitted to the proper au ies of Miami S rdJW71a ; In accepting this pe t I assu esponsibility , all work done by either myself, my agent, servant or employee. BY AUTHORITY 4 al MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date % ' r 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 building during progress of work. • Owner's Name and Address i L LX �±•___�__________W___________ No 7 �� Street _�_ ¢ _M_ S• __ ... Regisstred Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot________________ __________________Block Subdivision _______________ ___._–________ Street and Number where work is to be performed—No � 7 � �'� Street_ �� rg S? State work to be performed and purpose of building (By Floors) _____________— ___�_�� NI�w Building Remodeling Addition ..______________________ Repairs____ No of Stories_ _____ ______ ( 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 Overhead Service Underground Size Feeders______________ Conduit______._____ Main Sw._ ____________ Amps. .Main Fuses__ _ __ Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding �? c _ RE 4j Z-- Amount of Permit $_ 2.• "Q • (Signed) 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. STATE OF FLORIDA, COUNTY OF DADE. ss' Electrical Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, 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 FRED F-IA T CHER (Signed 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_______-_____ ___-_____w_____________-_______ 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. aster Electrican. to administer oaths and take acknowledgments, personally 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.