1041 NE 93 St (7)BUILDING ❑
ELECTRICAL
PLUMBING ❑
ROOFING
Owner of
Building
Architect
Contractor
or Builder_
Legal Lot
Description
Address of
Building
❑ PERMIT N9 14950
❑ Work to be performed under this 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
herfor 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: 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 Dr specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No.
Amt. of
Permit $
BY AUTHORITY
tlVD�F�ii�1� SHIEREE VllLIL 9 GE C- LD IDA
❑
❑-' PERMIT N? n125
BUILDING
ELECTRICAL
PLUMBING
ROOG
Owner of
Building
Architect
Contractor
or Builder
Legal Lot II Bl.
Description
Address of
Building
CONTRACTOR OR BUILDER
Subdi-
vision
Value of
Project $
DATF
❑ Wok o be performed under this Pe rmit
Amt. of
Permit $
BY AUTHORITY
. 195
Contractor's
License No
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
hercfor 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: 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
A
Permit No 1 1 - s:
Owner's Name and Address
STATE OF FLORIDA, }
COUNTY OF DADE.
rr
Location and Legal Description Lot
Street and Number where work is to be performed —No
ss.
ELECTRICAL INSPECTION DEP RTMENT
LIGATION FOR ELECTRICAL PERMIT
Date
My Commission Expires
MIAMI SHORES VIII
GE
Block Subdivision
Street... f
Application is hereby made for the approval of the detailed statement c f 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 specific d or not. A copy of approved plans and specifications must be kept at
building during progress of work.
C " 11 No Street
Registered Architect and/or Eng' er r
Employing Electrician's Name No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs No. of Stories
Service Overhead Site Feeders Conduit Main S. Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby ce rtify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Sectipn . ;966, 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 su:h subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) '\
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 feposes 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.
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 H
MOTORS
1•111 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
Q
CHECK
U 11
tL�
�
A
Permit No 1 1 - s:
Owner's Name and Address
STATE OF FLORIDA, }
COUNTY OF DADE.
rr
Location and Legal Description Lot
Street and Number where work is to be performed —No
ss.
ELECTRICAL INSPECTION DEP RTMENT
LIGATION FOR ELECTRICAL PERMIT
Date
My Commission Expires
MIAMI SHORES VIII
GE
Block Subdivision
Street... f
Application is hereby made for the approval of the detailed statement c f 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 specific d or not. A copy of approved plans and specifications must be kept at
building during progress of work.
C " 11 No Street
Registered Architect and/or Eng' er r
Employing Electrician's Name No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition. Repairs No. of Stories
Service Overhead Site Feeders Conduit Main S. Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby ce rtify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Sectipn . ;966, 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 su:h subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed) '\
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 feposes 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.
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.
10 �'
MIAMI SHORES VILL
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM!
/582
Permit No
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 .:onformity with the Building Ordinance of Miami Shores Village, Florida,
n 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
r of Miami Shores Village o shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
`7 building during progress f work.
( � n
1 ,e? Owners Name and Address L / J \ ;f P �' No Street
",/' Architect and /or Engineer 1 "� A a
t,
"7 p E mploying Electrician's Name t No Street
o , � / tion and Legal Description Lot Block Subdivision
i � Al ' r
.. and Number where work is to be performed —No '' Street r',r ' ' ti
work to be performed and purpose of building (By Floors)
Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
88.
B.X.I
The undersigned applicant for this building permit does hereby cer
labor under the Florida Workmen's Compensation Act, being Section 5
(Si
0
GE
Metal Moulding
Date ' y
Service Overhead Size Feeders Conduit ) 2 - Main Sv' Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing.
Electrical
rstands and accepts his obligations as an employer
General Laws of Florida Permanent Supplement, a
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in /he
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 n l ices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, a are
licensed by Miami Shores Village.
f '
(Signed) .��...��� Cr�J�� ' 4 + !\ f 4
Master Electrician.
STATE OP FLORIDA, 1
COUNTY OF DADE. I
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 r•:•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. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
--CONTR. S T
uaT
` s1
/ 7
' .
I
l
CHECK
`J -
B
�
/ 0
�, ri/ '
. s�
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVIC
PERM.
/
MOTORS
0.1 HP
OTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
4
fJ L
U
'�„ ‘—'
1
1
CHECK
��
/J
// )J`
,15
10 �'
MIAMI SHORES VILL
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERM!
/582
Permit No
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 .:onformity with the Building Ordinance of Miami Shores Village, Florida,
n 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
r of Miami Shores Village o shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
`7 building during progress f work.
( � n
1 ,e? Owners Name and Address L / J \ ;f P �' No Street
",/' Architect and /or Engineer 1 "� A a
t,
"7 p E mploying Electrician's Name t No Street
o , � / tion and Legal Description Lot Block Subdivision
i � Al ' r
.. and Number where work is to be performed —No '' Street r',r ' ' ti
work to be performed and purpose of building (By Floors)
Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
88.
B.X.I
The undersigned applicant for this building permit does hereby cer
labor under the Florida Workmen's Compensation Act, being Section 5
(Si
0
GE
Metal Moulding
Date ' y
Service Overhead Size Feeders Conduit ) 2 - Main Sv' Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing.
Electrical
rstands and accepts his obligations as an employer
General Laws of Florida Permanent Supplement, a
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in /he
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 n l ices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, a are
licensed by Miami Shores Village.
f '
(Signed) .��...��� Cr�J�� ' 4 + !\ f 4
Master Electrician.
STATE OP FLORIDA, 1
COUNTY OF DADE. I
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 r•:•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
19) 9
Permit No /17i
Amount of Permit $.
STATE OF FLORIDA, 1
COUNTY OF DADE. Il
MIAMI SHORES V0fL(LAME
ELECTRICAL INSPECTION DEPARTMENT
A L➢ AT9® FC1R ELECTRICAL. REI [MDT
SS.
Application is hereby made for the approval' .i the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application h 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 speci: ied or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No 0 L A
Registered Architect and /or Engi eer
Employing Electrician's Name....GIR
Location and Legal Description Lot Block
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 Additior
Service Overhead Site Feeders Conduit Main Su
Underground
Type of Installation — Conduit Tubing... ... B.X.L Metal Moulding
My Commission Expires
•
The undersigned applicant for this building permit does hereby cc
labor under the Florida Workmen's Compensation Act, being Section
has complied with the provisions thereof, and will require similar con
work to be performed under this permit; and will post or cause to be F
as are required by the Act. The undersigned agrees to employ only suc
licensed by Miami Shores Village.
( Signed )
(Signed). ........,(
Date
1 Street
No Street.
/ Y —
Subdivision'
Notary Public, State of Florida
Repairs No. of Stories
Amps Main Fuses Amps
Electrical Inspector.
tify that he understands and accepts his obligations as an employer of
966, Compiled General Laws of Florida Permanent Supplement, and
pliance from all contractors or sub-contractors employed by him in the
osted for inspection on th site of the such public notice or notices
h sub contractors, Jn wr to be,.erform under thi permit, as are
r
Mas er 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 d :poses and says that he is the
of the above described construction, and he has carefully read the fore;oing 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
REFRIG.
OUTLET
IRON
OUTLET
FANGE
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
/ 5 )
�..-----
7 err
CHECK
13,56
S
19) 9
Permit No /17i
Amount of Permit $.
STATE OF FLORIDA, 1
COUNTY OF DADE. Il
MIAMI SHORES V0fL(LAME
ELECTRICAL INSPECTION DEPARTMENT
A L➢ AT9® FC1R ELECTRICAL. REI [MDT
SS.
Application is hereby made for the approval' .i the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application h 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 speci: ied or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address No 0 L A
Registered Architect and /or Engi eer
Employing Electrician's Name....GIR
Location and Legal Description Lot Block
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 Additior
Service Overhead Site Feeders Conduit Main Su
Underground
Type of Installation — Conduit Tubing... ... B.X.L Metal Moulding
My Commission Expires
•
The undersigned applicant for this building permit does hereby cc
labor under the Florida Workmen's Compensation Act, being Section
has complied with the provisions thereof, and will require similar con
work to be performed under this permit; and will post or cause to be F
as are required by the Act. The undersigned agrees to employ only suc
licensed by Miami Shores Village.
( Signed )
(Signed). ........,(
Date
1 Street
No Street.
/ Y —
Subdivision'
Notary Public, State of Florida
Repairs No. of Stories
Amps Main Fuses Amps
Electrical Inspector.
tify that he understands and accepts his obligations as an employer of
966, Compiled General Laws of Florida Permanent Supplement, and
pliance from all contractors or sub-contractors employed by him in the
osted for inspection on th site of the such public notice or notices
h sub contractors, Jn wr to be,.erform under thi permit, as are
r
Mas er 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 d :poses and says that he is the
of the above described construction, and he has carefully read the fore;oing 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.
APPLICATION FOR ELECTRICAL PERMIT
Permit No ` ` 3 3 _ Date s e P —1
Application is 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 enc conformity with the Building Ordinance of Miami Shores Village, Fiu: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. Q
Owner's Name and Address ELljs f �f 17 NE CDE No 1041 •• S t `et " 7 --
Amount of Permit $ (� v
as.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
NONE
Registered Architect and /or Engineer
Employing Electrician's Name 1 )1,-lee. No Street , ,
Location and Legal Description Lot i3 *— I Block Subdivision p er, -b eg& If'I {�A
4I .k
Street and Number where work is to be performed—No ..(.O C) 13 Street P'e..kAtneii.a 140I .S
State work to be performed and purpose of building (By Floors) CAN >4
New Building Remodeling Addition 17
(Signed)
(Signed)
Repairs No. of Stories (
� � Overhead Site Feeders Conduit Main Sw Ampa Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.I :.L Metal Moulding
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' [ions as an employer of
labor under the Florida Workmen's Compensation Act, being Sectio 1 5966. Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar :ompliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to to 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.
cn-u1. .tfirL
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oa:h 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 Expire° Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when suck 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
C ONTR.
LIST
"'"'"7777
.
..�
^.
w
...�
^
�'
I
CHECR
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PER b.
MOTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
LIOT
CHECR
APPLICATION FOR ELECTRICAL PERMIT
Permit No ` ` 3 3 _ Date s e P —1
Application is 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 enc conformity with the Building Ordinance of Miami Shores Village, Fiu: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. Q
Owner's Name and Address ELljs f �f 17 NE CDE No 1041 •• S t `et " 7 --
Amount of Permit $ (� v
as.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
NONE
Registered Architect and /or Engineer
Employing Electrician's Name 1 )1,-lee. No Street , ,
Location and Legal Description Lot i3 *— I Block Subdivision p er, -b eg& If'I {�A
4I .k
Street and Number where work is to be performed—No ..(.O C) 13 Street P'e..kAtneii.a 140I .S
State work to be performed and purpose of building (By Floors) CAN >4
New Building Remodeling Addition 17
(Signed)
(Signed)
Repairs No. of Stories (
� � Overhead Site Feeders Conduit Main Sw Ampa Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.I :.L Metal Moulding
ectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' [ions as an employer of
labor under the Florida Workmen's Compensation Act, being Sectio 1 5966. Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar :ompliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; and will post or cause to to 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.
cn-u1. .tfirL
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oa:h 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 Expire° Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when suck re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.