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ELECTRICAL PERMITMt MI SHORES VILLAGE, FLA. JOB ADDRESS INSPECTION 7 TIME READY le It REMARKS: N9 5161 INSPECTOR DATE Village ,of Miami Shores JOB / /Z o L L ADDRESS / S" '' G INSPECTION TIME READY REMARKS INSPECTOR ■° 4685 DATE 2 �- >p Vi1 age of Miami Shores N° 4683 JOB % fa, L ADDRESS INSPECTION TIME READY REMARKS INSPECTOR /c • c r2_eG Sur DATE 7- Z `✓ i' 9L' MIAMI SHORES VILLAGE, FLA. JOB . .J iLtae ADDRESS 3 4. INSPECTION 7�'�Z. A ,.. .J 9 TIME READY 0— -- REMARKS: °� ' �-� 7 - 1� 0 c ? ,c 014 - , , - N9 5019 sip NSPECTOR DATE p- 2 7- �� BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder (f i ` - Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA 0 p PERMIT 11T° 4715 n" B1 Work to be performed under this Permit This permit is granted to the contractor or builder named above to construc 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ifY Signed. E ' Gw �' Subdi- vision Value of Project $ INSPECTOR �v In consideration of the issuance to me of this permit I agree to perform the work covered d ereunder in compliance with all ordinances and regulations pertaining thereto and in sUict 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. 7 Contractor's License No DATF' a' sy 195 Amount of . Permit $ CONTRACTOR DR BUILDER BY AUTHORITY 6411M> MIAMI SHORES VILLAGE, FLA. JOB ADDRESS INSPECTION dr. TIME READY 1/ ° 9 - J �i REMARKS: G` INSPECTOR DATE N9 5154 :UILDING :LECTRICAL 'LUMBING GOOFING )weer of wilding r .ontractor r Builder egal Lot rescription ddress of uilding d' 'C In consideration of the issuance to me rtaining thereto anc. in strict conformity with :pting this permit I assume responsibility for A t 7 Mr 7 1 H - 1 . 11 0 " 9 MIAMI SHORES VILLAGE. FLORIDA ❑ o PERMIT N? 4054 rchitect , CONTRJ,CTOR OR BUILDER B1 Work to be performed under this Permit BY Subdi- vision Value of Project $ Amount of Permit $ AUTHORITY DATE ` " 195 Contractor's License No. 1 £ This permit is iranted to the contractor or builder named above to construct the building or to install the equipment or device described in the application erefor 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 authorities. This Permit may be revoked at any ne if the work is nc,t done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining to the wor`c covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work ,ne by his agents, servants or employees. f Signed BY INSPECTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by - either myself, my, agent, servant or employee. Permit No otpv 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 and conformity with the Building Ordinance of Miami Shores Village, Fiu:Ida, and all provisions of the Laws of the State of Florida, all ordinance of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whcthcr herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of work. Owner's rame and Address Judy Bean N 1181 Loren E. Melton #EF0000261 Registered Architect and /or Engineer Employing Electricians Name Alarm Control, Inc. No 6065 15 lL Rio s,n� l7cgal n Lot at a. Block ° Subdivision..Q L 1 Street and Number where work is to be performed —No 11 81 Street N.E. 92nd Street State work to be performed and purpose of building (By Floors) .Buxg1ai. .rD ..Ix1 t.aa �a.tion New Building Remodeling Additwn Repairs No. of Stories Service Overhead Size Feeders Conduit 'Main Sw Amps Main Fuse Amps Underground Type of Installation --- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 55. Electrical Inspector. The undersigned applicant for this building permit dots hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, bang 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 •erfor d undo this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. I sa. Before me, the undersigned � , . therein by him stated. arc true. r,•• f : ^ ? '1 My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT / c/ Date ` f z ... (Signed) P (Signed ority, a nutarY public, duly authorized to administer oaths and take acknowledgments, personally e:L -722 Street N.E. 92nd Street StreetN,W. 1670 Street Notary Public, Sta of Florida Master Electrician. to me hell known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ..Y V / of the above described construction, and he has ;.arefully read the foregoing application, and that he did sign the same, ' and that all facts NOTE: A re•inspection fee of $1.00 will be made when u:ch rt:•fnspection is ma . necessary by improper notice for inspection, or faulty materials and /or workmanship. SNITCH OUTLETS LIOMT OUTLETS PLUG RECE'P'T'• FIXTURES NO LAMP* REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE NEATER STRIP HEATER TOTAL CONTR. LIST CHICK ENT. Sw. DIET. CAS. SERVICE TEMP. SERVICE PERM. Burg. Alarm MOTORS 0.1 HP MOTORS 14 MP Naos TRANS. RADIO TOTAL GONTR' LIST 1/30 55.50 CHICK Permit No otpv 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 and conformity with the Building Ordinance of Miami Shores Village, Fiu:Ida, and all provisions of the Laws of the State of Florida, all ordinance of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whcthcr herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of work. Owner's rame and Address Judy Bean N 1181 Loren E. Melton #EF0000261 Registered Architect and /or Engineer Employing Electricians Name Alarm Control, Inc. No 6065 15 lL Rio s,n� l7cgal n Lot at a. Block ° Subdivision..Q L 1 Street and Number where work is to be performed —No 11 81 Street N.E. 92nd Street State work to be performed and purpose of building (By Floors) .Buxg1ai. .rD ..Ix1 t.aa �a.tion New Building Remodeling Additwn Repairs No. of Stories Service Overhead Size Feeders Conduit 'Main Sw Amps Main Fuse Amps Underground Type of Installation --- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 55. Electrical Inspector. The undersigned applicant for this building permit dots hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, bang 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 •erfor d undo this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. I sa. Before me, the undersigned � , . therein by him stated. arc true. r,•• f : ^ ? '1 My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT / c/ Date ` f z ... (Signed) P (Signed ority, a nutarY public, duly authorized to administer oaths and take acknowledgments, personally e:L -722 Street N.E. 92nd Street StreetN,W. 1670 Street Notary Public, Sta of Florida Master Electrician. to me hell known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ..Y V / of the above described construction, and he has ;.arefully read the foregoing application, and that he did sign the same, ' and that all facts NOTE: A re•inspection fee of $1.00 will be made when u:ch rt:•fnspection is ma . necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 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. 44 72 fir!/ No /Ye/ Owner's Naive and Address STATE OF FLORIDA, l COUNTY OF DADE. 1 68 ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATI N FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No Amount of Permit $ 3 Registered J.rchitect and /or Engineer / p� Employing I'.lectrician's Name...4� � �d �= s e No t7.,. .61 Street 'i5¢. i eY Location and Legal Description Lot Block .Subdivision Stree... It.c? State work tc be performed and purpose of building (By Floors).../' 6`c iP " eC7 ��, No. of Stories // New Building Remodeling Addition Repairs Service Overhead p Size Feeders Conduit Main Sw .Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli .lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida l anent 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 employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date Street Master Electrician. 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. 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. SWITI :H OUTLI TS LIGHT OUTLETS PLUG RECE'P'7'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER b b�Q t/ TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 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 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. 44 72 fir!/ No /Ye/ Owner's Naive and Address STATE OF FLORIDA, l COUNTY OF DADE. 1 68 ' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATI N FOR ELECTRICAL PERMIT Street and Number where work is to be performed —No Amount of Permit $ 3 Registered J.rchitect and /or Engineer / p� Employing I'.lectrician's Name...4� � �d �= s e No t7.,. .61 Street 'i5¢. i eY Location and Legal Description Lot Block .Subdivision Stree... It.c? State work tc be performed and purpose of building (By Floors).../' 6`c iP " eC7 ��, No. of Stories // New Building Remodeling Addition Repairs Service Overhead p Size Feeders Conduit Main Sw .Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli .lions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida l anent 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 employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date Street Master Electrician. 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. 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Applic:.tion 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 WY/ 09 A"' i L Register:d Architect and /or Engineer Employing Electrician's Name... .Q'7 .S.. a.L. .L®C ' I C= No /0.3 Location and Legal Description Lot Block Street ar d Number where work is to be performed— No ....... //d P State work to be performed and purpose of building (By Floors) New Building j� Remodeling Addition Service Size Size Feeders Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I licensed by Miami Shores Village. 85. N...../,( JP/ e /- / O-¢7 - Q Conduit 2. Main Sw / - 3.Q - CrAmps..... /. 2..3 Main Fuses a.n. Amps Type of Installation— Conduit - Tubing - �X-� - 4 � (Signed) (iL- Electrical Inspecter. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob Rations 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 this permit, as are (Signed) Date if Subdivision Street..,/.11 3 Street./ ✓ 4Z 1 -./..ita Street..:.Y.... &. Repairs No. of Stories Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well k:iown, 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 hirn stated are true. My Commission Expires 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 "J materials and / 'or workmanship. Notary Public, State of Florida t SWITCH OUTLETS LIGHT OUTLETS PLUG RECCE'P'T'8 FIXTURES NO. LAMPS REFRIG. OUTLET J IRON OUTLET / RANGE OUTLET z RANGE CONN. Z WATER HEATER / W. HEAT. CONN. / ACE H ATER Z STRIP HEATER TOTAL ��q) / CL ST LIST � 1 q / 7 2 9 / q CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST. / - IO d 3 () /U e-4;% / 2 . �i -Cif / /-34 / CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Applic:.tion 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 WY/ 09 A"' i L Register:d Architect and /or Engineer Employing Electrician's Name... .Q'7 .S.. a.L. .L®C ' I C= No /0.3 Location and Legal Description Lot Block Street ar d Number where work is to be performed— No ....... //d P State work to be performed and purpose of building (By Floors) New Building j� Remodeling Addition Service Size Size Feeders Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I licensed by Miami Shores Village. 85. N...../,( JP/ e /- / O-¢7 - Q Conduit 2. Main Sw / - 3.Q - CrAmps..... /. 2..3 Main Fuses a.n. Amps Type of Installation— Conduit - Tubing - �X-� - 4 � (Signed) (iL- Electrical Inspecter. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob Rations 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 this permit, as are (Signed) Date if Subdivision Street..,/.11 3 Street./ ✓ 4Z 1 -./..ita Street..:.Y.... &. Repairs No. of Stories Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well k:iown, 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 hirn stated are true. My Commission Expires 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 "J materials and / 'or workmanship. Notary Public, State of Florida Permit No do Owner's Name and Address STATE OF FLORIDA, i COUNTY OF DADE. I 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 2 Application it 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 durir g progress of work. v I , / p 16--0..1. No �d' e Street •'''(//, Registered Architect and/or Engineer Electrician's Name C 5 — 1 �c- ( ZhC... /33 / Location and Legal Description Lot Block Subdivision is Street and Number where work is to be performed —No // Street / r 2 . 1 State work to be performed and purpose of building (By Floors) /74"'7 r o' c -t.. . ' New Building' Remodeling Addition Repairs No. of Stories Service Overt cad Site Feeders Conduit Main Sw Amps Main Fuses Amps Under ground Type of Installation— Conduit Tubing ^B.X.L Metal Moulding / �.�� Amount of P $ (Signed) LJ P 4.h' Electrical—Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations u an employer of labor under t. a 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 inspectio on the site of the work such public notice or notices as are require by the Act. The undersigned agrees to employ only such sub•con ractors .n work to be under hi permit, as are licensed by IA iami Shores Village. - Street Master Electrician. Before ete, 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 hint stated are true. My Commission Expires Notary Public, State of Florida NOTE: A rc•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. HEAT. CONN. ACE H ATER 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 Y CHECK Permit No do Owner's Name and Address STATE OF FLORIDA, i COUNTY OF DADE. I 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 2 Application it 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 durir g progress of work. v I , / p 16--0..1. No �d' e Street •'''(//, Registered Architect and/or Engineer Electrician's Name C 5 — 1 �c- ( ZhC... /33 / Location and Legal Description Lot Block Subdivision is Street and Number where work is to be performed —No // Street / r 2 . 1 State work to be performed and purpose of building (By Floors) /74"'7 r o' c -t.. . ' New Building' Remodeling Addition Repairs No. of Stories Service Overt cad Site Feeders Conduit Main Sw Amps Main Fuses Amps Under ground Type of Installation— Conduit Tubing ^B.X.L Metal Moulding / �.�� Amount of P $ (Signed) LJ P 4.h' Electrical—Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s obligations u an employer of labor under t. a 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 inspectio on the site of the work such public notice or notices as are require by the Act. The undersigned agrees to employ only such sub•con ractors .n work to be under hi permit, as are licensed by IA iami Shores Village. - Street Master Electrician. Before ete, 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 hint stated are true. My Commission Expires Notary Public, State of Florida NOTE: A rc•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.