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ELECTRICAL PERMITMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Date / / Time For Inspector: Approved Correction Re- Insp'n Fee Type Insp'n Permit No. -- 2 Name Address ) l ° C A- ( Company C C.. Phone # e, o Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp iki/ //Le, -- Permit No. L--206) o Name Address // / 0 " q" -`-J C� 5c7 Por Phone # For Inspector: Approved i L Correction ❑ Re- Insp'n Fee ❑ I E`i 6"/-1,e97�� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp Permit No. E 00 a Name Address \ 0 �e 9 ' Company `_ .A _ I _'i' r� 1_11 t l Phone # For Inspector: / L / 1 E Name &== Approved I4 Correction Re- Insp'n Fee ❑ e7/t 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date U Time Type Insp'n y� Permit No. � —' O 3 Name ■ Address 10 ‘ 4" Co Phone # 3n5� ( 2 b o () For Inspector: ( Z 0 k kame & Date Approved Correction Re- Insp'n Fee ❑ 7- o , , L ° 7 / r e MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 231 AAA-4 Time Type Insp'n Permit No. 2 L_ D o a - 3 Name h Q..,_/ht Address lJ L d C Phone R O f (F' Z. 0 0 0 For Inspector: 0 / 11 i )U Name & Date Approved Correction dl. 7 Re- Insp'n Fee ❑ ? -/ A c°., /, ‘ & y'ie r9'6 P‘/C.— MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time s Type Insp'n 1 /c Permit No _ i 1)04 7 _- 37 Name ) Address 1/90 ¢- n) o 0L (J Company Phone # For Inspector: / ) O rl Name & Date Approved w ❑ Correction in Re- Insp'n Fee ❑ Date ob Address - PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 - 2204 9e niE 90 S' Tax Folio Legal Description Historically Designated: Yes No Master Permit ` # 1 O D r ) 757 ) ' lo( Phone 57 44/41 669 4 9's' Qualifier -/C.�/ / /l, _ /' , ert* SS # 7 `J v c9 6' State # ZLZ06a/ 9g Municipal # Competency # Ins. Co. 14/q Owner's Address / Contracting Co. / e /A) Address Owner /Lessee/Tenet IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING � �p /� WORK DESCRIPTION: / ''� ©� -1 LJ� i'C vie (° 4q7c1iZ,-2d /. e_cu_44:2 / Square Ft. c26"C ' Estimated Cost (value) 3C ' en C_ _ku4, a , ---a4 4 ELECTRICAL WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understated that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to # wner and/or My Commission Expires FEES: PERMIT E°e*- resl•ent MARY PAT B+:IGGSDate Notary , Public i Exp ns May 11 MS A Commission # DD 104873 ;pf Bonded By National Notary Assn. * IrAD ; ON C.C.F PLUMBING MECHANICAL ROOFING Signature of Contractor or Owner Bui /Lei Notary as to My Commis ' / V • • f a f s �uil�. , kY PAT BRIGGS . { . " __ MyC. , FxpieaMey11, r Commission # DD 104873 Bonded By National Notary Assn• ir ontra ion E 1 eC) NOTA APPROVED: Zoning Building Mechanical Plumbing 1 `1/2 Date Date BOND TOTAL DUE ElectricaV�.� Structural Engineer EM ni TU3 UNIT FEE ITEM SNITCH CURETS UNIT FEE ITEM SPACE HEATERS UNIT FEE CET LIGHT CUTLETS CENTRAL HEATING SHWASeER RECEPTACLES A/C (WINO) S?GSAL SERVICE TEMPORARY A/C (CENTRAL) INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK OCR CRAIN SERVICE REPAIR/ATER GUNGE / /X'O� REFRIGERATION EASE TRAP APPLIANCE CUTLETS J PROCESS AND PRESS PIPING TERCEPTCR RANGE TCP UNDERGROUND TANKS NATORY OVEN ABOVE GROUND TANKS .UNORY TRAY WATER HEATER U.F. PRESS.RE VESSELS OTHES WASHER MOTORS 0- 1 FP STEAM BOILERS :DNER MOTCRS OVER 1- 3 FP HOT WATER BOILERS NK, POT/3 COMP. MUTCRS OVER 3- -5 FP MECHANICAL VENTILATION • NK, RESIDENCE MOTCRS OVER 5- 8 FP TRA?iSPCRTlM ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 FP ELEVATCRS/ESCALATCRS :WORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS MINAL MDTCRS OVER 25-100 FP COOLING TOWERS %TER CLOSET MOTORS OVER 100 HP VIOLATION -DIRECT WASTES A/C WINDOW REINSPECTION ;TER SLPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRAM CRMERS HEATER -NEW INST. GENERATORS TRANSFCR11 .S HEATER - REPLACE GENERATORS TRAA'SFMERS - LAWN SPRINKLER -WELL SPECIAL PLRPOSE SNIMfi11NG POOL CUTLETS 0314,ERCIAL WATER SERVICE • SIGN TLRES WER CONNECTIONS SIGN TR NSFOIMERS "ILITY- SE'NER SIGN TIME CLOCK " I L I TY -WATER F I XTI..RES :PT IC TAMA ANTENNA :LAY TELEVISION CURETS WAWNFIE10, 4' TILE/RES. VIOLATION :?WP & ABA1CON SEPTIC TANK REINS?ECTION IAXAGE PIT CU. FT. \TCH BASIN ISCtURGE WELL NEST IC WELL tEA CRAIN :OF INLET )LAR WATER HEATER - iRE STANCPIPE a PIPING \WH SPRINKLER SYSTEM S RANGE :TER SET (GAS) S PIPING N APPLICATION FOR BUILDING PERHIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. ,3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUr'IT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2002 -312 Printed: 9/26/2002 Applicant: DAVID MARKUS Owner: MARKUS DAVID JOB ADDRESS: 1190 NE 92 ST Contractor MOODY ELECTRIC INC IN) Local Phone: (305)758 -2000 Parcel # 1132050270460 Electrical Permit Contractor's Address: 669 NW 90 ST Legal Description: BAY LURE PB 44 -63 LOT 8 e- 4 -10 01 Do Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 3/25/2003 Construction Value: $2,300.00 Work: RELOCATE EXISITNG 200 AMP SERVICE UNDERGROUND BECAUSE OF POOL Page 1 of 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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: I"SPECTOR) BY: BLK 3 LOT SIZE 75.000 X 125 OR 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 wit plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either my agent, servants or employes. Signed: (Contractor or Builder) BY: DATE TO THE OF ACCTS. PAYABLE DISC. OTHER CHECK NUMBER , Y1 O th (1116 © m1km1 , 5t-toe-ES ,(a MOODY ELECTRIC, INC. 669 N.W. 90TH STREET MIAMI, FL 33150 (305) 891 -1374 TOTAL BANK MIAMI, FLORIDA OF iYcs j ���� l PAY AMOUNT OYe 1'�'a rt €rr ��c e G1 l! 6 c= 00 L6 1440 1:066009 L55I: EXPLANATION AMOUNT 35 10 30 79006 DOLLARS 63- 915/660 16144 CHECK AMOUNT 1 ;.2, 0 Q O s MIAMI SI- ICyRE,S VILLAGE BUILDING ItslItIECTIPN 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor.... ..A1L_ Location and legal description of lot to be built on: Lot Block I %qo Street and Number where work is to be done State work to be done and purpose of buil ing y floors) a. .. - . _. -._ . .a.sr......... e. New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ 4-9 ® 0 .._a . Disappved (Signed) Building In ector w Subdivision ......__.... Addition • PLANNING BOARD Chairman Mfcrmbcr Member sass.. _-•-- -- •- •— . --_ -._ Date... <Y g ,19.23 ��..> rya: ..._ Roof Covering 'L.Zd 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 permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon ctors, on w k to be ormed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 2' STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 we true. �( Permit No. .__.__._ r c /e" Date - 7 7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member Repairs .DATE F 13 and for no other purpose. No. of Stories to me well known, 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 hoard. 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. January 26, 1977 TO WHOM IT MAY CONCERN s I have no objection to my neighbor, Dr. Cippes, 1190 N. E. 92nd St., placing an air - conditioning unit on the west side of his house toward the back of his house. Very truly yours, BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Lot 0 MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7295 Owner of Building Bl. Address of Building CONTRACTCR OR BUILDER DATE Contractor's License No. 195 r Work to be performed under this Permit__ Subdi- vision Value of � ° �' II Amount of Project $ 11 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 assur8es. 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•3T.i11age. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 APPLICATION FOR 8 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. Owner's Name and Address ' Registered Architect and /or Engineer Name and address of licensed contractor. 1? C :. 1! a n e s [./q Location and legal description of lot to be built on: Lot Block S b ivi �(/�� Street and Number where work is to be done .. (C.__"J 2 t; - State work to be done and purpose of building (by floors) y N __S ii A " f(L i .._� 7 (. 2 74 i C M A- ..- I ---it e e 0i ( i.2 c� ' 14 e 47- New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation, r gf.Govering Estimated Total cost of improvements $ cd_. 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 permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on 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) 'Z ,. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 c fully read the lore ng application, and that he did sign the same, and that all facts therein by him at�te�l a trrr�_- Permit No ° " Date__ Read, Sworn to and Subscribed before me. Disapproved ate (Signed) ( Signed) Building Inspector MIAMI SHORES VILLAGE: BUILDING INSPECTION DEPARTMENT Date A . �'... No. Zr i' Street /V/ I V/ .a �71c to me well known, Notary Public, State of Florida e- 19 and for no other purpose. My Commission Expires PLAN G 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 91.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1: • rr • 1 • • - 'f • 1 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ` +•'� Architect Contractor or Builder Lot Description Address of Building This permit is I1 MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 11508 Work to be performed under this Permit �t / e' y - %41 Signed• Subdi- vision Value of Project $ DATE wIMMIN 1951_ Contractor's License No BY . ., .lt..a .4rrL MTA.•" J Amt. of Permit $ / r ranted 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. INSPE « • In consideration of the issuance to me of this permit I agree to perform the wor 4 'ered hereunder in compliance with all drdinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specific • ons submitted to the proper authorities of Miami Shores Village. In accepting thi permit I assume responsibility for all work done by either, myself, m gent, servant or employee. 4 ••l .�, _ • CONTRACTOR OR BUILDER { BY AUTHORITY -4•0 APPLICATION FOR ELECTRICAL PERMIT Permit No.,.' r' , 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. , r Owner's Name and Address ' k `�"�'74 rv.. a -vim No Street Registered Architect and /or Engineer Employing Electrician's Name c ,. �C p• L= .4k. • ` , No Street Location and Legal Description Lot Block ` Subdivision c- 4 +^� -... / , 'J / .� Street ��L...,E 9 . /// ._ Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date k1 I L „:„ (Signed) State work to be performed and purpose of building (By Floors) New Building , Remodeling Addition Repairs No. of Stories J : - Service Overhead Size Feeders / Conduit 2 - Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit /'Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 tze work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths ancl 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 / .1 LIGHT OUTLETS I j PLUG RECyyE•P''T'S .1...) . ) FIXTURES NO. LAMPS 11 1 REFRIG. OUTLET / IRON OUTLET RANGE OUTLET ) RANGE CONN. WATER HEATER / W. HEAT. SPACE CONN. HEATER .1 STRIP HEATER TOTAL CONTR. CHECK °I ♦JJ J 7 i :"�' }" i .....,. �I ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / . CHECK 1 P APPLICATION FOR ELECTRICAL PERMIT Permit No.,.' r' , 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. , r Owner's Name and Address ' k `�"�'74 rv.. a -vim No Street Registered Architect and /or Engineer Employing Electrician's Name c ,. �C p• L= .4k. • ` , No Street Location and Legal Description Lot Block ` Subdivision c- 4 +^� -... / , 'J / .� Street ��L...,E 9 . /// ._ Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Date k1 I L „:„ (Signed) State work to be performed and purpose of building (By Floors) New Building , Remodeling Addition Repairs No. of Stories J : - Service Overhead Size Feeders / Conduit 2 - Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit /'Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or 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 tze work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths ancl 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.