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ELECTRICALMIAMI SHORES VILLAGE, FLA. JOB ADDRESS X INSPECTION TIME READY ; N2 7225 REMARKS. // , ) / , , INSPECTOR' , , 4 -, , ---. r / /// ...._„,-.._,_., .„_____,,__ DATE ,,, MIAMI SNORES VILLAGE, FLA. JOB e (rq - - 02, ADDRESS INSPECTION 4 "),1 TIME READY ��� 1NT° 7 311 REMARKS: INSPECTOR DATE r -•' APPLICATION FOR ELECT -r' PERMIT Permit No ( 4 0 > Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildi. g 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 t! • ® s Employing Electrician's Name STATE OF FLORIDA, COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEtPARTMENT Registered Architect and /or Engineer Location and Legal Description Lot rt q / 0 Block Subdivision...A� �' -� `�� Street and Number where work is to be performed—No ..t0 7 8 2 . f'r 6:/' l State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ (Signed) No. /07 W J No..3 -0 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Date ✓° 1! �� The undersigned applicant for this building permit does hereby certify that he understands and accepts his o,',cligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid( 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) � Electrical Inspector. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of 31.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. <7r; z 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 facto therein by him stated are true. 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. RACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.0 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECT -r' PERMIT Permit No ( 4 0 > Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildi. g 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 t! • ® s Employing Electrician's Name STATE OF FLORIDA, COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEtPARTMENT Registered Architect and /or Engineer Location and Legal Description Lot rt q / 0 Block Subdivision...A� �' -� `�� Street and Number where work is to be performed—No ..t0 7 8 2 . f'r 6:/' l State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amount of Permit $ (Signed) No. /07 W J No..3 -0 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Date ✓° 1! �� The undersigned applicant for this building permit does hereby certify that he understands and accepts his o,',cligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid( 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, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) � Electrical Inspector. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of 31.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. <7r; z 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 facto therein by him stated are true. ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTS KCAL PERMIT Permit No. .�.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the builc'i ag 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 Buili ;ng 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. '17 Owner's Name and Address rf . 0 , r � i � No.-O.Q G � 9b/ Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No / 0 70 .....E State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Underground Amount of Permit $ licensed by Miami Shores Village. STATE OP FLORIDA, } COUNTY OF DADE. Ss. Type of Installation — Conduit Tubing 3 MIAMI SHORES VILLAGE (Signed) Block Date . B.X.L Metal Moulding Crret Subdivision. da a –,, 6 _ Conduit 3 Main Sw C Amps Main Fuses Amps 0 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 (Signed) �fl 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 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' P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER 1 .Cn1w4. ACE HEATER H ATER ZitRl?: F TOTAL CONTR. LIST 7p GS bb C v 0 / J �� � =' � �' ✓�c, ., r yl) , / l. 4 , ;,u � lr � i �n , CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. L LIST LIST A — •� / /-- CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTS KCAL PERMIT Permit No. .�.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the builc'i ag 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 Buili ;ng 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. '17 Owner's Name and Address rf . 0 , r � i � No.-O.Q G � 9b/ Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No / 0 70 .....E State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Underground Amount of Permit $ licensed by Miami Shores Village. STATE OP FLORIDA, } COUNTY OF DADE. Ss. Type of Installation — Conduit Tubing 3 MIAMI SHORES VILLAGE (Signed) Block Date . B.X.L Metal Moulding Crret Subdivision. da a –,, 6 _ Conduit 3 Main Sw C Amps Main Fuses Amps 0 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 (Signed) �fl 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 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 %C . Amount of Permit STATE OF FLORIDA, } MIAMI SHORES VILLAGE E ECCTRICAL INSPECTION DEPARTMEN''T APPLICATION FOR ELECTRICAL PERMIT Application io hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vila ]iu: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 he kept at building during progress of work. � a� Owner's Name and Address p p i-.1 e I' N o 10 0 St r eet l D' / l V % li'' Registered Architect and /or Engineer Employing Electrician's Name LO Let El ed. �. Ia No Street 15 3So N1 i 'Ab 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) Cot' at -1 - ' , efitPor'� 30 1V0 . S PeloeA4t.. -�'Q • cL New Building Remodeling V Addition Repairs No. of Stories 1 I/ Service Overhead Size Feedero..V 171 '''' Conduit / a ' Underganumd Type of Installation--Conduit V Tubing B.X.L .Metal Moulding Main Sw Amps / ( Signed )..1!'e <.11Jy�f......Y�ly.0 pct 3• Y (Signed) 6,31 Da reb 191 ci Main Fuses Amps k. 7.1ectrica2 Ens; estor. 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 Supplemena, arse" has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed r,)y hi© 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 ouch public naa=c or nazi= are required by the Act. The undersigned agrees to employ only such sub•contractors,on work to be performed under this pewit, as are licensed by Miami Shores Village. COUNTY F C). O DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac nowledgcaecto, pe¢car:ajiy appeared to we well known, and who, being by me first duly sworn, upon oath deposes and says that he io the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and tkaa ail facto ¢rein by him stated are true. My Commit:aion Expires Notary Public, State of l arcda NOTE: A re•inspection fee of 13 will be made when such re inspection is made neceso ry by improper notice for macs, 07 faz;lay materials and/or workmanship. 5VJITC 1 OUTLETS LION? OUTLETS PLUG REC a'P'V'S FI %TURES NO LAMPS REVRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER - + �+tCc - : S L O ° ^ ?OTA COMM LIST p WA GS @NEER EDT. 3w. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 MP MOTORS 1 -0 HP NEON TRANS. RADIO ^ ?OTA3 LIf3T CWQCR Permit No %C . Amount of Permit STATE OF FLORIDA, } MIAMI SHORES VILLAGE E ECCTRICAL INSPECTION DEPARTMEN''T APPLICATION FOR ELECTRICAL PERMIT Application io hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vila ]iu: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 he kept at building during progress of work. � a� Owner's Name and Address p p i-.1 e I' N o 10 0 St r eet l D' / l V % li'' Registered Architect and /or Engineer Employing Electrician's Name LO Let El ed. �. Ia No Street 15 3So N1 i 'Ab 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) Cot' at -1 - ' , efitPor'� 30 1V0 . S PeloeA4t.. -�'Q • cL New Building Remodeling V Addition Repairs No. of Stories 1 I/ Service Overhead Size Feedero..V 171 '''' Conduit / a ' Underganumd Type of Installation--Conduit V Tubing B.X.L .Metal Moulding Main Sw Amps / ( Signed )..1!'e <.11Jy�f......Y�ly.0 pct 3• Y (Signed) 6,31 Da reb 191 ci Main Fuses Amps k. 7.1ectrica2 Ens; estor. 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 Supplemena, arse" has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed r,)y hi© 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 ouch public naa=c or nazi= are required by the Act. The undersigned agrees to employ only such sub•contractors,on work to be performed under this pewit, as are licensed by Miami Shores Village. COUNTY F C). O DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac nowledgcaecto, pe¢car:ajiy appeared to we well known, and who, being by me first duly sworn, upon oath deposes and says that he io the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and tkaa ail facto ¢rein by him stated are true. My Commit:aion Expires Notary Public, State of l arcda NOTE: A re•inspection fee of 13 will be made when such re inspection is made neceso ry by improper notice for macs, 07 faz;lay materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING u Li n El MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6474 Owner of Building Architect Contractor c: Builder Legal Lot Description Bl Address of Building DATF Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Amount of Project $ Permit $ ___ i 95 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in t'ae applicatie i homier in strict compliance with all ordinances pertaining thereto and with the understanding that the work will bo performed in compliance with any pars d rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may :::robed at any time if the work is not dono in compliance with such ordinances or if the plans aro changed without authorization. A further condition upon which this ccr ---._i' is crartod is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and requ,.o ons pertaining to tho work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes s or-EJ'c '.illy _`or or k done by his agents, servants or employees. Sinned• 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 raq°s.a.ic.::: pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to tho proper authorities of Miami Silo:: • _ ' "uc.. =n ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder CI L _ n Legal Lot Description 1+ B] CONTRAC'i GR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6648 Owner of Building Address of Building DATF Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Amount of Project $ Permit $ 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in tho application 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 pernit granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of tho ordinance= and regulation; ncrtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that ho assumes responsibility fcl wcr;: 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 ordinance„ and rcquiaiicr! pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Sc h:: s; Vi''agc. i.n a::. copting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHOPITY Permit No...:: Amount of Permit $ .. -. d ..0.. '... _.... STATE OF FLORIDA, 4 COUNTY OF DADE. y [ �a I SHORES V L ELECTRICAL INSPECTION DEPARTRIEE\17 A G° Lill A FlO F R ELECT ROCQL [DER a OT 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, Flo 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 o No it P/ � / Fb �a Registered Architect and /or Engineer Employing Electrician's Name .. .. ... . .. .. ..... .... No "PP 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 ss. My Commission Expires (Signed). (Signed) L Date Jet 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 cep tify that he understands and accepts his obl• ations 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 emplo; only such sub - contractors on work to be performed under this permit, as are licensed by Miami Shores Village. 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 ha 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS N EOPo RADIO 0.1 HP I. HP TRANC. TOTAL CONTR. • LIST ` CHECK Permit No...:: Amount of Permit $ .. -. d ..0.. '... _.... STATE OF FLORIDA, 4 COUNTY OF DADE. y [ �a I SHORES V L ELECTRICAL INSPECTION DEPARTRIEE\17 A G° Lill A FlO F R ELECT ROCQL [DER a OT 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, Flo 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 o No it P/ � / Fb �a Registered Architect and /or Engineer Employing Electrician's Name .. .. ... . .. .. ..... .... No "PP 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 ss. My Commission Expires (Signed). (Signed) L Date Jet 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 cep tify that he understands and accepts his obl• ations 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 emplo; only such sub - contractors on work to be performed under this permit, as are licensed by Miami Shores Village. 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 ha 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.