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ELECTRICALLegal Description Owner/Lessee / Tenant Owner's Address YLKMI 1 AYYLlCN 1 IVA 1' UK MIAMI SHVKI;J VILLAIiE Date 10 ' Job Address 33 N a q Tax Folio / 7 3 O( 0 / 3 0 353'a Qu 61 )1 uoln V ? state # Erooy o g`- Municipal # Historically Designated: Yes Contracting Co. ADT SECURITY SERVICES TNC, Address Master Permit # Phone 751— 4-108.S No • . SS# )I 5 -,5 _6 hone 624 -7770 x 5254 Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION LOW VOLTAGE SECURITY SYSTEM I Cvrrh-n /0 devices Ins. Co. 1 d Square Ft. Estimated Cost (value) , 5J ' , 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 AN 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). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S 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. 40 ' % • %' , ignature of o er an�/or4ondo President Date 0 3nO Notary as to Owner�fnd/or Condo President Date / My Commission Expires ..�. !f �I � .7: -- - ire rTln ,,II I" ' 7 OP,TIA qJ FEES: PERMIT( v RADON C.C.F. t lA'2 NOTARY APPROVED: Zoning Building Electrical Mechanical Plumbing Signature of Contractor or Owner Builder Notary as to Contract. or Qwny Builder My Commission Expires: H '� . N 0 ,,'>,v'r Cc^ BOND TOTAL DUE Date Engineering Owner's Name and Address M R l'7 R-$ Permit No.._- ...-S — Disapproved (Signed) .... Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. Registered Architect and /or Engineer Date — BP R' � / 02... -- NviQ £ / /se.z. _ No. .33. . . Street.__6 /e _ �3R o. Name and address of licensed contractor... / .e 1 /?U... $�� 1 3.€,5...AR . aft.N o •,r......76 S /V 71 ' h�T / 9 r'gm./ Location and legal description of lot to be built on: Lot Block Subdivision ....._,.._.._ Street and Number where work is to be done .3,5...__. ..t _Q..i.n.D..... T f . ; _ ,�ie.ami.. sfd.0.�.s, ...._' q• State work to be done and purpose of building (by floors)....rrls.Z. st _.. Sy,� .f.e.f.?).... el" �Z.._.._ . ........... . .......... z a...1,1c1.... '..G.e. . ..... /..fie. T - a...c. 40..rz.a....... �.G.e .7 .1.c... and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ....21,..3 ®OD Amount of Permit S. 6 .OD 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 wor to be performed under this pennit, as are licensed by Miami Shores Village. ��)) Remarks ( Signed) lrt�L " Wrh. G' , s,, z„ r , R e, 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 are true. Date Date �(( PLAN • INC BOARD Chairman Member Member ...... Council Approved. Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re-inspection fee of $1.00 will be charged materials and /or workmanship. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE to me well known, Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection oe faulty Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Location and Legal Description Lot Block Subdivision. (Signed) Street „ -16 --78 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: 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 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 / �...ce./. No R � K.. Street... . eds Registered Architect and /or Engineer Employing / V / Employing Electriciafi's Name..c3Jf £7eCi /.0 No�di...5 , r / StreeLD/ I /..ft.4 3n J-s y Street and Number where work is to be performed—No work to be performed and purpose of building (B oo .....44 .I( e4te 7 New Building Remodeling Addition Repairs No. of Stories � — Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses . Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding K/ Notary Public, State of Florida /E lect r ical Inspect6r. The undersigned applicant for this building permit does hereby cc: 61y 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 ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-con �on to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OP FLORIDA, l COUNTY OF DADE. I 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, 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 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 RECEIP'T'S FIXTURES NO. LAMPS REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST - I 1 < � J�.,r p , v/" G.°n CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.9 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Date Location and Legal Description Lot Block Subdivision. (Signed) Street „ -16 --78 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: 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 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 / �...ce./. No R � K.. Street... . eds Registered Architect and /or Engineer Employing / V / Employing Electriciafi's Name..c3Jf £7eCi /.0 No�di...5 , r / StreeLD/ I /..ft.4 3n J-s y Street and Number where work is to be performed—No work to be performed and purpose of building (B oo .....44 .I( e4te 7 New Building Remodeling Addition Repairs No. of Stories � — Service Overhead Underground Size Feeders Conduit Main Sw Amps Main Fuses . Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding K/ Notary Public, State of Florida /E lect r ical Inspect6r. The undersigned applicant for this building permit does hereby cc: 61y 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 ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-con �on to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OP FLORIDA, l COUNTY OF DADE. I 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, 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 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 APPLICATION FOR ELECTRICAL 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 of Miami Shores Village, Fiu:rda, 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 /� ' No Street..: 3 1 Z h l3 s Registered Architect and /or Engineer 44, /A4 Employing Electriciaft's Name / Location and Legal Description Lot /6 k./ „ . P Street and Number where work is to be performed —No.. ..3 1 '1. State work to be performed and purpose of building (By Floors) Service vcr Un erg STATE OF FLORIDA, t COUNTY OF DADE. j es. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No Street.. 7. cis.? 4 '.- d..6.: C. /..< -° Block 73 S7 g nJ Site Feeders Conduit Main Sw Amps 2. Type of Installation — Conduit Tubing Street DO The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. Date 3 ' 2 3 Subdivision 4 1/ 4 P 1- ' : 'g4';'(4 (/t", New Building Remodeling Addition Repairs No. of Stories Main FusesY 61 4 Amps B.X.L Metal Moulding Amount of Permit $ ... (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub- contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed) 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 therein by him stated are true. 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' •'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL ' CONTR. L 157 / q c / A Z fJ + CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST t t C Q(, �� 3 e: CHECK Permit No APPLICATION FOR ELECTRICAL 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 of Miami Shores Village, Fiu:rda, 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 /� ' No Street..: 3 1 Z h l3 s Registered Architect and /or Engineer 44, /A4 Employing Electriciaft's Name / Location and Legal Description Lot /6 k./ „ . P Street and Number where work is to be performed —No.. ..3 1 '1. State work to be performed and purpose of building (By Floors) Service vcr Un erg STATE OF FLORIDA, t COUNTY OF DADE. j es. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No Street.. 7. cis.? 4 '.- d..6.: C. /..< -° Block 73 S7 g nJ Site Feeders Conduit Main Sw Amps 2. Type of Installation — Conduit Tubing Street DO The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. Date 3 ' 2 3 Subdivision 4 1/ 4 P 1- ' : 'g4';'(4 (/t", New Building Remodeling Addition Repairs No. of Stories Main FusesY 61 4 Amps B.X.L Metal Moulding Amount of Permit $ ... (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub- contractors employed by him in the of the work such public notice or notices be performed under this permit, as are (Signed) 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 therein by him stated are true. 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. ;UILDING LECTRICAL 'LUMBING Dwner of 3uilding 'architect contractor it Builder .ega1 Jescrip 'd Lot .eCfiNTRAgOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N°' 4504s Work to be performed • In consideration of the issuance to me of this permit 1 agree to perform the work covered hereunder in compliance with all ordinances regulations' •ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of les Village. n accepting „, this pe 1 assume responsibility for a work dora y either myself, s y agent, servant or employee. Bl. under this Permit 9 , 'l, Value of Amt. of / 1 A zI „ Project Permit s granted to the contractor or builder named above to construct the building or to install the equipment or device des b the appli- strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in ., with any rigs, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This be revoked t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition on which this iermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings o in t statements or specifications and that he assumes respon- ibility for work done by his agents, servants or employees. q/ ,,te By -57/ 4-ir r Signed: yf Subdi- vision BY Ac INSPECTOR Contractor's License No 4 74* AUTHORITY 1 BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE N.-.. RMIT N° 4311 Work to be performed under this Permit `"+� aP .J+��..•.,tr„�, Owner of Building 1.1k Architect Contractor or Builder j •�''t -- Legal Lot Bl. Description Address of 3 3 L E Building 3 T I Project Permit This permit is granted to the contractor or builder named abi ?ve to construct the building or to install the equipment or device described in the a cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further c ndiiioo. upon wbi permit is granted is the understanding that the contractor or builder named above assumes the res onsibility for a thorough knowledge of the ordiiian = and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in t e statements or specifications and tha assumes . on- sibility for work done by his agents, servants or employees. .. 4 Signed. .. ! .., B . .imai.. -. INSPECTOR 'ii ONTRACTOR OR= -BUILDER Subdi- vision Value of Amt. of Contractor's License No 1/ 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 Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY 4( 41 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor i or Builder ,,t' -- Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DATE " / 1940 PERMIT Nn 4311 Work to be performed under this Permit Bl. Subdi- vision r Address of % r- �'"` r ia. Value of Amt. of j Building 3 3 (-11, l' * > " -"� -'{ Project 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 appli- cation 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 be assumes respon- sibility for work done by his agents, servants or employees. Contractor's License No. Signed. ".ham - By INSPECTOR 1/ 49 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with 4g� r!!ddinances and g$ ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorifierof Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. i 2... "�' • . • ONTRACTOR OR BUILDER AUTHORITY Permit No Registered Architect and /or Engineer Amount of Permit $ MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL 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 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 )//./ S 4 - No —_ __ __— _ —___ —_ Street___— ___— ___ - -_ Employing Electrician's Name OS- " :-.. __ _— 7 _ -° A S........ No Location and Legal Description Lot_ ' G! / 7L_a , ' 1 4 Block 3 Subdivision_./J. __ Vi 4 - /'_ Sp_IE Street and Number where work is to be performed —No �'____T !3Jr Street State work to be performed and purpose of building (By Floors) New Building___; Remodeling Addition Repairs ' verhea Service n erground Size Feeders 31ft . Conduit._ � Main Sw._1� 044 Amps. Main Type of Installation—Conduit _____ _________ Tubing_:_________ B.X.L. Metal Moulding ss. ■ 1 Street_'_ My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed) 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 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 performed under this permit, as are licensed by Miami Shores Village. (Signed) ,f -- — Master Electritan. Date No. of Stories E 1 es2c a1Inspector. STATE OF FLORIDA, COUNTY OF DADE. 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 TS LIGHT OUTLETS PLUG RE / T'S i -I FIXTURES NO.LAMPS REFRIG. OUTLET / IRON OUTLET / RANGE OUTLET / RANGE CONN. WATER HEATER / W. HEAT. CONN. SPACE HEATER Z STRIP HEATER TOTAL CONTR. ST /3 /1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Registered Architect and /or Engineer Amount of Permit $ MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL 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 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 )//./ S 4 - No —_ __ __— _ —___ —_ Street___— ___— ___ - -_ Employing Electrician's Name OS- " :-.. __ _— 7 _ -° A S........ No Location and Legal Description Lot_ ' G! / 7L_a , ' 1 4 Block 3 Subdivision_./J. __ Vi 4 - /'_ Sp_IE Street and Number where work is to be performed —No �'____T !3Jr Street State work to be performed and purpose of building (By Floors) New Building___; Remodeling Addition Repairs ' verhea Service n erground Size Feeders 31ft . Conduit._ � Main Sw._1� 044 Amps. Main Type of Installation—Conduit _____ _________ Tubing_:_________ B.X.L. Metal Moulding ss. ■ 1 Street_'_ My Commission Expires ELECTRICAL INSPECTION DEPARTMENT (Signed) 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 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 performed under this permit, as are licensed by Miami Shores Village. (Signed) ,f -- — Master Electritan. Date No. of Stories E 1 es2c a1Inspector. STATE OF FLORIDA, COUNTY OF DADE. 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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.