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8154MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No...k.1 Date. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the budding 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 wok. • Owner's Name and Address.. No 6 : *mt. N E 9.8 STP.e4r. Registered Architect and/or Engineer, )6 AI API 1:14- 14 ••••••••■••• •••••••■■■rimp*, Employing Electrician's Name.. 6 LTA E--'"LE'6711 649 ° No )--1-Ydr ..Street-16 61 5r "'AP° ° Location and Legal Description tot -. Block Subdivision. Street and Number where work is to be performed—No........—....., . . ......... _ .... .... . .. . . _...---.-....Street., State work to be performed and issrpOse of building (By Floors).* New .... of town. Lon Cases SWITCH UAW 111.114 1011111111610 1111,1114. WS* niu4■211 Oulter* OUT/4r; Itlititlors No. Luilo$ Our1.11T currum money _1,1ra LE it CONTR. LIST CHICK ftt1V. $w. acmes rienmee TO.. PUN. • 11A14112 Cows. tolaL vr ••••■■,..,..■■••••■•• ■■•■••••■.., Service 8dehearglmd She Pel4en" C°114114— 'Man Sw 1401**11 'NEON 1400 • • Tema*. Fuses...--.......----....Amps 4p Type of Installation—Conduit.-- ..... e 1••••••• owe* OH. Amount of Permit .. ... - Electricid Inspector. The undersigned Wigs* for OW building Permit does hereby certify that he understands end accepts his obligations as an employer of labor under the Florida Workmen!* Cmnpensadon 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 81111.01111412011 employed by him in the work to be performed under ibis permit,: and will post or came to be posted for ifteptitiOn on the site f the work such public notice or notices as are required by the Act. .The undersigned agrees to employ only such sub-contractors, on work be Performed under this Permit as are licensed by Miami Shores White. (Signed).— STATE OF FLOIUDA, cowry OF DADE. f Is' Before me she undersigned authority, 0 notary public, duly authorised to admlnlUer oaths and take saltnowledgments, personally Maste fiectridan. •••••■■:•■••••••■•■••••■■••■•••■■••••■■•“••■■••••■•••■■••■•+•••••■••■!••}••• •••,..4..■••■••■•••••••••••••••• to me well known, and who, being by me first duly worn, upon cads deposes and says that he is of the above demised construction, and be has carefully read the foregoing spoliation, and dust he did sign the sato. and *0 an facts therein by him stated are true. /Ay Commission Expires N Public, State of Florida NOTE: A re-inspection fee of SIX will be mode when such refinspection is made necessasy by improper notic,e for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL. INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Mg-r b a ,5.+ S:j.......1 ....... . ...... 1- L ) S'Y Permit No Date 1 - - 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. I Owner's Name and Address N77/13 ' 14 ' 5'i IL iwi No t7 a Street Registered Architect and/or Engineer Employing Electrician's Name Lrit ELE4r role- , no Street 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. s'_'_''''' ,_ Underground Overhead Size Feeders Conduit. -Main Sw Amps .Main Fuses, Amps Type of Installation—Conduit Tubing B.X.L _ .Metal Moulding 0 ethwer 6 E.2.r---d.k--r., 93 ii 1-1. 11---. r S'L44- 70 .. . 7-0 0 447 ° Amount of Permit $ (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 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 site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w rk to be performed under this permit, as are licensed by Miami Shores Village. (Signed) F DADE. 86. STATE OF FLORIDA, COUNTY O } 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 repection fee of $1.09 will be made when such minspection is made necessary by improper notice for inspection, or faulty materials and/or wbamanship. SWITCH OUTLETS LIGHT OU11.1ErS PLUG RECE'VT'S FIXTURES NO. LAMPS HEFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT, CONN. atacz HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ..11. ---,---...-- ...--.--,--. - ENT. $W. DIST. CAR. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RA010 TOTAL, CONTR. LIST ......-......,....-. .-.........-..,-.,. CHECK .. _ • s'_'_''''' ,_ Underground Overhead Size Feeders Conduit. -Main Sw Amps .Main Fuses, Amps Type of Installation—Conduit Tubing B.X.L _ .Metal Moulding 0 ethwer 6 E.2.r---d.k--r., 93 ii 1-1. 11---. r S'L44- 70 .. . 7-0 0 447 ° Amount of Permit $ (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 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 site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w rk to be performed under this permit, as are licensed by Miami Shores Village. (Signed) F DADE. 86. STATE OF FLORIDA, COUNTY O } 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 repection fee of $1.09 will be made when such minspection is made necessary by improper notice for inspection, or faulty materials and/or wbamanship. MIMING LECT'RICAL -LUMBJNG OOFING Iwner of uilding rchitect ontractor Builder _gal escription ddress of uilding MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ Amt. of 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 application -refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with' any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal auth ` , . This Permit may be revoked at any ne if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A °`fu" r condition upon which this permit is anted is the understanding that the contractor or builder named above assumes the responsibility or a thorough kno ge of the ordinances and regulations -rtaining to the work covered hereby whether shown on the plans or drawings or in the statem : or specificatio "`n" . mes responsibility for wotk me by his agents, servants or employees. IN ECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunde rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted accepting this permit I assume responsibility _ for all work done by either, myself, my agent, servant or CONTRACTOR OR BUILDER BY compliance with "all ordinances and regulations the proper authorities of Miami Shores Village. ployee.