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ELECTRICAL PERMITPermit No Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ci SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ”Lit 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. /1 y (n _ _ " -9 No Registered Architect and /or gine /Employing Electrician's Name_.' '-'2--,.P and Legal Description Lot /� . ZS2,re d 2t "Number where work is to be performed —No � ? -7� � a ' - to to be performed and purpose of building (By Floors) r ile /uilding Remodeling Addition i ( j _ Overhead / O /. e Service U� 2 / � Size Feeders Conduit Main Sw Amps Main Fuses . Amps Type of Installation — Conduit Tubing. B.X.L Metal Moulding r 62,2_ ,eLa Block Subdivision t� 4 7/ I A l Inspector. The undersigned applicant for this building permit does hereby ce tify that he understands and accepts his obli 'ions as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida P manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra rs 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village Date Street.° P72-31 St eet o. 1 Street ' Lfr 3 v"" Repairs No. of Stories / (Signed ). .� L 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER �� ��� Y ] TOTAL CONT LIST y �I 1 I CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CL LIST ' ' -6 �'C9� CHECK Permit No Owner's Name and Address Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ci SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ”Lit 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. /1 y (n _ _ " -9 No Registered Architect and /or gine /Employing Electrician's Name_.' '-'2--,.P and Legal Description Lot /� . ZS2,re d 2t "Number where work is to be performed —No � ? -7� � a ' - to to be performed and purpose of building (By Floors) r ile /uilding Remodeling Addition i ( j _ Overhead / O /. e Service U� 2 / � Size Feeders Conduit Main Sw Amps Main Fuses . Amps Type of Installation — Conduit Tubing. B.X.L Metal Moulding r 62,2_ ,eLa Block Subdivision t� 4 7/ I A l Inspector. The undersigned applicant for this building permit does hereby ce tify that he understands and accepts his obli 'ions as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida P manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra rs 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village Date Street.° P72-31 St eet o. 1 Street ' Lfr 3 v"" Repairs No. of Stories / (Signed ). .� L 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 1335? MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date July 14, 1970 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 Oliver No 324 N . E. 91 s t re e t Registered Architect and /or Engineer Employing Electrician's Name G i l M c D o n a l d E l e c t r i c Co . N 6930 S. W. 5 9 tst' feet l a c e, Miami , Fla Location and Legal Description Lot Block Subdivision 324 N. E. 91st Street treet State work to be performed and purpose of building (By Floors) Instal l 21/2 H P air con d i ti one r New Building Remodeling Addition X Repairs No. of Stories Street and Number where work is to be performed —No Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 3 •0 0 STATE OF FLORIDA, y COUNTY OF DADE. ss. appeared Before me, the undersigned authority, a notary public, duly authorized Gil McDonald to me well known, and who, being by me first duly sworn of the above described construction, and he has carefully therein by him stated are true. (Signed) '11.L1.f (Signed)..i 1 McDonald lectrical Inspecto 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, on work toe performed under this permit are licensed by Miami Shores Village. Master Electrician. to administer oaths and take acknowledgments, personally , upon oath deposes and says that he is the E l e c t r i c a l Contractor read the foregoing application, and that he did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 0.1 HP 1.$ HP NEON TRANS. RADIO TOTAL C LST R, 2 2HP Air Conditioner $3.00 CHECK Permit No 1335? MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date July 14, 1970 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 Oliver No 324 N . E. 91 s t re e t Registered Architect and /or Engineer Employing Electrician's Name G i l M c D o n a l d E l e c t r i c Co . N 6930 S. W. 5 9 tst' feet l a c e, Miami , Fla Location and Legal Description Lot Block Subdivision 324 N. E. 91st Street treet State work to be performed and purpose of building (By Floors) Instal l 21/2 H P air con d i ti one r New Building Remodeling Addition X Repairs No. of Stories Street and Number where work is to be performed —No Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground P P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 3 •0 0 STATE OF FLORIDA, y COUNTY OF DADE. ss. appeared Before me, the undersigned authority, a notary public, duly authorized Gil McDonald to me well known, and who, being by me first duly sworn of the above described construction, and he has carefully therein by him stated are true. (Signed) '11.L1.f (Signed)..i 1 McDonald lectrical Inspecto 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, on work toe performed under this permit are licensed by Miami Shores Village. Master Electrician. to administer oaths and take acknowledgments, personally , upon oath deposes and says that he is the E l e c t r i c a l Contractor read the foregoing application, and that he did sign the same, and that all facts 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 ZONING LINE & GRADE SURVEY FIRE PREVENTION PLUMBING Owner L. O LI VER This space represents the lot: make outlin of ground plan showing distance of building from I 1 lot lines. Miit4t rHo acs a AGE CITY OF pF FLORIDA Orr1CZ Or BUILDING INSPVCTOII APPLICATION FOR BUILDING 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 and Zoning of the City of North Miami, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of North Miami, and all rules and regulations of the Building and Zoning Department of the City of North Miami, shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. p Date... ` ( � L .. ._.._.. 19..7 C _Address 3� T • `° • ' Signed. Registered Architect and /or Engineer: J '� _ '�� Contractor D ') R D i E' f f Address )' - 6. �° L el & ER v I Location of Proposed Work: Lot Subdivision. Street and number where work L t be done • T L Description of proposed work • E � C L /v I ° Q( 1 i 0 n ' and for no other purpose. New building. Remodeling..._.._.._ Addition....._....__...._... Repairs... No. of stories._ _ _ To be constructed of_.__..._ ..__ ___ . _ _.._ _I Ind of foundation. Estimated cost of improvements: 8 . v 0 .-- .._........_... Plumbing Block Roof Electric. I hereby submit all the plans and specifications for said building. I hereby make application for a Certificate of Occupancy. All notices with references to the building and its construction may be sent to: o d dersigned applicant for this building permit s hereby certify that_... ....._._........,...nnderetande d accepts...........__......_ .._ ...... _.._.._..obligations as an employer of labor under the Florida Workmen's Com- pensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has corn• plied with the provisions thereof, and will require similar conpliance from all contractors or subcon- tractors employed by_._. __.. .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 u are required by this aa4 wok L„ Mgr as Oontraa fa Address: is Space 0 of rife In T Board of Adjustments Approval: Planning and Zoning Board Approval: Council Approval: Sq. Footage: ----- Estimated Bldg. Cost. Bldg. Permit Fee • Certificate of Occupancy Fee. Total Fee: _...� Approved by Building Inspector: Permit No.: A._. - �.. ...... BUILDING ZONING LINE & GRADE SURVEY FIRE PREVENTION PLUMBING Owner L . 0 L VE R Registered Architect and /or Engineer: Contractor O V A A i IV E d Location of Proposed Work: Lot This space represents the lot; make outline of ground plan showing distance of building from all lot lines. I St4o& St4okel )‚LL4ce CITY OF I, FLORIDA OFFICE Or BUILDING INSPECTOR APPLICATION FOR BUILDING PERMIT Application is hereby mode 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 and Zoning of the City of North Miami, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of North M1emi, and all rules and regulations of the Building and Zoning Department of the City of North Miami, shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Address " • `� � G cot R J'r Block Subdivision. Street and number where work L be done. 3 ti 7 '" •• 9/ .1 Description of proposed work. Ir M C f r s' ' �� ,, Ce ('( Ti o A and for no other purpose. New building.._.._.._ _.._ Remodeling..._...._._ Addition _...__. ._ Repairs.. No. of stories.. To be constructed of... __ __----------Kind of foundation. Roof Estimated cost of improvements: _._.. ...v ®0 _ Plumbing Electric I hereby submit all the plans and specifications for said building. I hereby make application for a Certificate of Occupancy. All notices with references to the building and its construction may be Bent to: Signed: Address The undersigned applicant for this building permit does hereby certify that_...._.._.._. .understands and accepts.... ____ _ _.. .. ..obligations as an employer of labor under the Florida Workmen's Com. !sensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has com- plied with the provisions thereof, and will require similar conpliance from all contractors or subcon• tractors employed by..._.._.. .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 u are required by this act (IC) , - • (npr ) 0 Board of Adjustments Approval: Planning and Zoning Board Approval: Council Approval: of rite In T is Space Sq . Footage: _..._...— ........_.._.. _ _._ ._._.._._.._.._.._.__ Estimated Bldg. Cost: Bldg. Permit Fee: ...._.__ ? �..._ �.._.._.._..�__.._.. Certificate of Occupancy Fee: _ Total Fee • Fiuilding Inspector: Approved y l�•1 7/ _ b Permit No.: A._..- - -• _!._` _ !,1 1 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 the work. • State work to be done and purpose of building (by floors) C. Date ? 1/ ) , 19 ,_ � Owner's Name and Address.... . � u?_ ._..� __ � ��' �'-� No.. ._:� �� `�%� � Street -/ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done �' %� �?� f. ef r 7 and for no other purpose. New Building Remodeling Addition Repairs No. of Stones To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit 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, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) `f, /: e STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING r Owner of 'Building Architect Contractor 'or Builder Legal Description Address of Building Lot 1f/ MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ? 195_( ❑ PERMIT N? 4124 Contractor's License No. El ❑ Work to be performed under this Permit ' r ` 'r : �. Bl. Subdi- vision Value of Project $ ` Amount of 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 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 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 responsibility for work done by his agents, servants or employees. Signed ; r `' r 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. CONTRACTOR OR BUILDER BY AUTHORITY s, Permit No Application is hereby m{de 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 kcpt at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer ,_.: No../ Employing Electrician's Name- .�' � _���f ` � ' '' '� � 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) New Building /' Remodeling Addition. Repairs Service Type of Installation— Conduit Tubing 1{` B.X.L. Metal Moulding oft 1 / Overhead Size Feeders Underground Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations 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 pefformed, under this permit, as are licensed by Miami Shores Village. • r c r ;° ` Q f `' STATE OF FLORIDA, COUNTY OF DADE. ss' 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts T erein by him stated are true. r APPLICATION FOR ELECTRICAL PERMIT My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) /i No.___ Street_ — Date Street__v`_�t_1 Notary Public, State of Florida Subdivision_ 11 , Street_ / 2 4 ' ��r� - �_� --__ No. of Stories.__ -- Conduit__ Main Sw.___ - - ` J — Amps. Main Fuses_r__r:? ____Amps. (Signed) Master Electrican. 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 �N ! t _ ` ti CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST , /� CHECK Permit No Application is hereby m{de 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 kcpt at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer ,_.: No../ Employing Electrician's Name- .�' � _���f ` � ' '' '� � 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) New Building /' Remodeling Addition. Repairs Service Type of Installation— Conduit Tubing 1{` B.X.L. Metal Moulding oft 1 / Overhead Size Feeders Underground Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations 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 pefformed, under this permit, as are licensed by Miami Shores Village. • r c r ;° ` Q f `' STATE OF FLORIDA, COUNTY OF DADE. ss' 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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts T erein by him stated are true. r APPLICATION FOR ELECTRICAL PERMIT My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) /i No.___ Street_ — Date Street__v`_�t_1 Notary Public, State of Florida Subdivision_ 11 , Street_ / 2 4 ' ��r� - �_� --__ No. of Stories.__ -- Conduit__ Main Sw.___ - - ` J — Amps. Main Fuses_r__r:? ____Amps. (Signed) Master Electrican. 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.