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555 NE 93 St (4)- -' CLOatT[ BATH Tus t aNOW[Ra LAVA• TONICS •�INKi SLOP SINKS LAUNDRY Tu•• .. w illINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIIITURES •• . �— CONTR. L IST CHtCK SEPTIC TANIS ' SEWER : CONN. DRAIN FIELD SOAKAO[ PIT G TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / CHICK Permit No a o MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1) - 7,02s / L i j — ) 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 L 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 mutt be kept et building during progress of work. Owner's Name and Address r ° k r h I e- . � ` A h d r � = No S S S Street..L"• 6- 3 Registered Architect and /or Engineer /1/a � 0 'Q Po cu e r Co r Employing Plumber's Name — ..-- -- _ Na 2° / �S ^ ittwl._� vv. ' ' /J Location and Legal Description Lot-20 t U 2 / Blorir Street and Number where work is to be performed -ciao: �S State work to be performed and purpose of building (By Floors) New Building.____._ .__..__........._.. Remodeling \- _.._..__ —. __ Addition. Size Septic Tank-_-_. Feet of Drain Tile Nature of Water Supply: City -Well. Amount of Permit $ (Signed)- — AN U 11" N...._ .L licensed by Miami Shores Village. (Signed) Z 1/L)--C2 St y1 � o e...�..�.... S. -S ores - S4 Subdivhdon._____p JCL street_...44 L ._ 9' 3 S1 Repairs No. of Stories ............ Type of Tank__. _ .____.______.___..___._.Capacity Cals..._..._...__.___-._ .. -_.._ Dist. Feet of Tank or Drain Field from Well ._._.M._.______._.______.. -____ ._ — _.. ... __._ Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has corn. plied with the provisions thereof, and will require similar compllance from all contractors or sub - contractors employed by him in the worfr to be performed under this permit; and will post or cause to be posted' far inspection on the site of the work such public notice or notices as SUP required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, Ks are Muter Plumber. STATE OF FLORIDA, 1 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 d the same, and that all facts therein by him stated iuliotsgePublic, State of Florida at Large My Commission Expires January 26, 1986 8o dMby.StwJ ery a Aeen•iataa My Commission Expires NOTE: A re- inspection fee of $1.00 will be made whey snob wdnspeotian it seeds . "^by Improper soda for Inspection, er Nulty materials and /ar workmanship. SOLAR SURVEY and INSTALLER INFORMATION SURVEY FOR: ADDRESS: CITY: ' NATIONWIDE POWER CORPORATION 4110 TYPE: ONE (1) STORY ® TWO (2) STORY D OTHERD L -- SPECIAL INSTRUCTIONS -- WILL TANK BE RE- LOCATED? YES D NO CI IF YES, HOW FAR FROM EXISTING TANK? FEET RE- LOCATED TO WHAT AREA? WHAT ELECTRICAL IS AVAILABLE AT EXISTING OR NEW LOCATION? 220 VOLT OUTLET: YES[] NOD HOW MANY FEET FROM TANK? 110 VOLT OUTLET: YES ED NOD HOW MANY FEET FROM TANK? IF TANK IS TO BE RE- LOCATED }Ow LOT: (HOUSE D E S C R I P T I O N ) `TANK LOCAT 10 /t) FOR OFFICE USE ONLY LEGAL DESCRIPTION BLOCK: SUB- DIVISION: CORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33801 PHONE 11 HOME COUNTY: WORK STATE: ZIP: rt- ROOF: TILE D ASPHALT SHINGLE Q- TAR & GRAVEL CJ BAHAMA D BARREL TILED OTHER D EXISTING TANK IS LOCATED IN: GARAGED UTILITY ROOM D CLOSET D OTHER D PROPANE L1 OIL NATURAL D GAS (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) FEET FEET a INFORM CUSTOMER OF $ RE- LOCATION CHARGE. 1 • THE LEADER IN THE FIELD OF ALTERNATIVE ENERGY NATIONWIDE - POWER CORPORATION Inspector I TM NPC -1060 SOLA SURVEY nd T A LER L NATIONWIDE POWER CORPORATION SURVEY FOR: ADDRESS: CITY: F oorS■cgl- _ss C ct 3 ?-1 t_ m TYPE: ONE (1) STOR TWO (2) STORY D OTHER® ROOF: TILED ASPHALT SHINGLE I. TAR b GRAVEL D BAHAMAD BARREL TILED OTHER LOT : 2 D FOR OFFICE USE ONLY =O 77 6 >-> t� PHONE 41 HOME COUNTY: 0 9 T WORK STATE: L. ZIP: 33/3 6 (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION EXISTING TANK IS LOCATED IN: GARAGE UTILITY ROOM® CLOSET® OTHER WILL TANK BE RE- LOCATED? YESD IF YES, HOW FAR FROM EXISTING T� FEET RE- LOCATED TO WHAT AREA? WHAT ELECTRICAL IS AVAILABLE AT IS G OR NEW LOCATION? 220 VOLT OUTLET: YES [NO D 110 VOLT OUTLET: YES NO® IF TANK IS TO BE RE- LOCATED 11■•.O ■INFORM CUSTOMER OF $ HOW MANY FEET FROM TANK? HOW MANY FEET FROM TANK? LEGAL DESCRIPTION • BLOCK: SUB - DIVISION: S CORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33801 Inspector fc- 7 c ' � ^nr MATAON FEET FEET RE- LOCATION CHARGE. THE LEADER IN THE FIELD OF ALTERNATIVE ENERGY NATIONWIDE POWER CORPORATION TM NPC -1060 Permit No Servi Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date zZ140 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, Fio: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 ^r' 1�.CL2.IE AAA) t No S 1 Street q 3 $ I Registered Architect and /or Engineer Employing Electrician's Name l E?v"1. i'Qu2.WAM .54^.! ... ....No StMI € Street Location and Legal Description Lot Block Subdivision 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 Addition Repairs No. of Stories 61 ound Size Feeders. .. .. 0 Conduit...cit Main Sw Type of Installation — Conduit Tubing B.X.L Roo (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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, work to e performed under this permit, as are licensed by Miami Shores Village. �( (Signed) Amps •-CC Main Fuses =1OQ Amps .Metal Moulding Master Electrician. STATE OF FLORIDA, j COUNTY OF DADE. f s'. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO. LAM•B REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST • CHECK Permit No Servi Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date zZ140 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, Fio: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 ^r' 1�.CL2.IE AAA) t No S 1 Street q 3 $ I Registered Architect and /or Engineer Employing Electrician's Name l E?v"1. i'Qu2.WAM .54^.! ... ....No StMI € Street Location and Legal Description Lot Block Subdivision 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 Addition Repairs No. of Stories 61 ound Size Feeders. .. .. 0 Conduit...cit Main Sw Type of Installation — Conduit Tubing B.X.L Roo (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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, work to e performed under this permit, as are licensed by Miami Shores Village. �( (Signed) Amps •-CC Main Fuses =1OQ Amps .Metal Moulding Master Electrician. STATE OF FLORIDA, j COUNTY OF DADE. f s'. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of ,4' Building Architect Contractor or Builder r Legal Lot Description Address of a- Building t � MIAMI SHORES VILLAGE. FLORIDA ❑ /t. PERMIT N? 7069 0 4 CONTRACTOR OR BUILDER Bl f ./ 4t DATE 195 '/ Contractor's License No. Work to be performed under this Permit C Subdi- vision Value of 11 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 sta efnents or specifications and that he assumes responsibility for work done by his agents, servants or employees. f Signed INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, - my agen servant or employee. BY AUTHORITY Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 Jn 1 _, , • Registered Architect and /or Engineer Employing Electrician's Name s( " Location and Legal Description Lot Block Street and Number where work is to be performed —No xri r, /k• 7, 1 State work to be performed and purpose of building Floors) -- 'a ; - 2 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 2 se. My Commission Expires 1e (Signed) (Signed) ,t � 4� No `� St reet ' No)c c)4 Street 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 subcontractors, on work to licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths Date Street fi' tO' Subdivision New Building Remodeling Addition Repairs No. of Stories Notary Public, State of Florida L ,3r/'(1 Q( € 3v Overhead I , R ° % v' �� Service Size Feeders , <........Conduit Main Sw Amps Main Fuses Amps ufwieoggeve‘ Type of Installation— Conduit Tubing B.X.L Metal Moulding Master Electrician. Electrical Inspector. ccepts his o nations as an employer of of Florida ermanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. 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. DIET. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 Jn 1 _, , • Registered Architect and /or Engineer Employing Electrician's Name s( " Location and Legal Description Lot Block Street and Number where work is to be performed —No xri r, /k• 7, 1 State work to be performed and purpose of building Floors) -- 'a ; - 2 Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 2 se. My Commission Expires 1e (Signed) (Signed) ,t � 4� No `� St reet ' No)c c)4 Street 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 subcontractors, on work to licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths Date Street fi' tO' Subdivision New Building Remodeling Addition Repairs No. of Stories Notary Public, State of Florida L ,3r/'(1 Q( € 3v Overhead I , R ° % v' �� Service Size Feeders , <........Conduit Main Sw Amps Main Fuses Amps ufwieoggeve‘ Type of Installation— Conduit Tubing B.X.L Metal Moulding Master Electrician. Electrical Inspector. ccepts his o nations as an employer of of Florida ermanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are 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. 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. of cct ctor der aG tMIMAL BTNG Lot Ai �� ss of /� � Value of Amt. t of $ g ,./ w Project $ Permit his permit is granted to th con ractor builder named above to construct the building or to install the equipment or device described in the application - 1 strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, __ statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any e 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 the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations 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 Lis agents, servants or employees. IN consideration of the issuance to me of this permit I agree .f .erform the work covered hereunder in compliance with all ordinances and regulations thereto and in strict conformity with the plans, drawing _ tements or specifications submitted to the proper authorities of Miami Shores Village. ng this permit I assume responsibility for all work don / either, myself, my agent, servant or employee. 1 s , 1 . coN A t' b Si `Btf1fl k erg MIAMI SHORES VILLAGE, FLORIDA DATE .. PERMIT N? 10893 Work to be performed under this Permit Bl. Signed f Subdi- vision / Contractor's License No BY AUTHORITY 1951 Permit No ky 3 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. u 1 . s 'ti.)Mufiv No Street Registered Architect and /or Engineer Employing Electrician's Name !AA g7 No '5 Street ...X1.t.. IV. . . 6 ... Location and Legal Descriptioir Lot 2. (/ fc, 1 X. J Block . -._ Subdivision Street and Number where work is to be performed— No.. ..J - 21 t Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead o `d ' i l_.....Main Sw... 1� Amps J Fuses. ' ` Amps Servi r Underground Sue Feeders.....1 Conduit 1 / ps �t /� ` Am Type of Installation — Conduit ; T pbing .■ 4t- Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed).. .fl (jt t Date / r ,5% B.X.L Metal Moulding./ ' - ; 7 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands a ce s hi4 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General w of lorida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors r 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 to 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. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P•T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 3 / 3 X 1 �w� / 3 l i ! " B / - 1 _23 1 k r a 1 .2. t / R X7 X. ` CHECK ENT. SW. OIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / /t U !k C✓ / .-. . CHECK Permit No ky 3 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. u 1 . s 'ti.)Mufiv No Street Registered Architect and /or Engineer Employing Electrician's Name !AA g7 No '5 Street ...X1.t.. IV. . . 6 ... Location and Legal Descriptioir Lot 2. (/ fc, 1 X. J Block . -._ Subdivision Street and Number where work is to be performed— No.. ..J - 21 t Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Overhead o `d ' i l_.....Main Sw... 1� Amps J Fuses. ' ` Amps Servi r Underground Sue Feeders.....1 Conduit 1 / ps �t /� ` Am Type of Installation — Conduit ; T pbing .■ 4t- Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed).. .fl (jt t Date / r ,5% B.X.L Metal Moulding./ ' - ; 7 Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands a ce s hi4 obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General w of lorida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors r 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 to 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. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.