ELECTRICAL� h
Owner's Name and Address
Registered Architect and /or Engineer ___________
Employing Electrician's Name
Location and Legal Description Lot____.
MIAMI SH o RES VIL
My Commission Expires
ELECTRICAL INSPECTION DEPARTI
APPLICATION FOR ELECTRICAL
Permit
Application is hereby made for the approval of the detailed statement of the plans and specifications herew.
structure herein described. This application is made in compliance and conformity with the Building Ordinan.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and n,
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans at,
building during progress of work.
Amount of Permit $ (Signed)
Street and Number where work is to be performed— No.___!
No . F, i■■■■■■■■- ■■■■ Street---- -- = - - - -- --- - - ----
Block____ -_ _______ -___ -- Subdivisions: ` - -__ --=-- ___ - --
Street__,_�___
State work to be performed and purpose of building (By Floors) _
New Building — Remodeling Addition —_ Repairs —___ No. of Stories
Service Overhead Size Feeders.____ Conduit___ Main Sw._
Underground
Type of Installation— Conduit Tubing________— B.X.L. Metal Moulding
(Signed)
Amps. Main Fuses_ Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understancis 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.
Master Electrican.
STATE OF FLORIDA, 1
COUNTY OF DADE. 8S•
Before me, the undersigned a on ty, a Vail' public, duly au y zed to administer oaths and take ackno personally
appeared - .�.t''E2 — �� �/ _
■
to me well known, and who, being by me first duly sworn, upon oath deposes and says that h:e is th �H`�'�'r -mss,
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all far
therein by him stated are true. -
. ■■O■..y..■..■••••■ ..w....- a. Ce.w L 1 �.. «.k: G I M F.e f "i.�i /
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
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'B
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1 4 „y
CHECK
� h
Owner's Name and Address
Registered Architect and /or Engineer ___________
Employing Electrician's Name
Location and Legal Description Lot____.
MIAMI SH o RES VIL
My Commission Expires
ELECTRICAL INSPECTION DEPARTI
APPLICATION FOR ELECTRICAL
Permit
Application is hereby made for the approval of the detailed statement of the plans and specifications herew.
structure herein described. This application is made in compliance and conformity with the Building Ordinan.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and n,
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans at,
building during progress of work.
Amount of Permit $ (Signed)
Street and Number where work is to be performed— No.___!
No . F, i■■■■■■■■- ■■■■ Street---- -- = - - - -- --- - - ----
Block____ -_ _______ -___ -- Subdivisions: ` - -__ --=-- ___ - --
Street__,_�___
State work to be performed and purpose of building (By Floors) _
New Building — Remodeling Addition —_ Repairs —___ No. of Stories
Service Overhead Size Feeders.____ Conduit___ Main Sw._
Underground
Type of Installation— Conduit Tubing________— B.X.L. Metal Moulding
(Signed)
Amps. Main Fuses_ Amps.
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understancis 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.
Master Electrican.
STATE OF FLORIDA, 1
COUNTY OF DADE. 8S•
Before me, the undersigned a on ty, a Vail' public, duly au y zed to administer oaths and take ackno personally
appeared - .�.t''E2 — �� �/ _
■
to me well known, and who, being by me first duly sworn, upon oath deposes and says that h:e is th �H`�'�'r -mss,
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all far
therein by him stated are true. -
. ■■O■..y..■..■••••■ ..w....- a. Ce.w L 1 �.. «.k: G I M F.e f "i.�i /
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
materials and /or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
,- Date 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.
Owner's Name and Address No J'' Street
Registered Architect and /or Engineer
Employing Electrician's Name No 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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ ( Signec)
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 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 arc
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
(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 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
IIfON'
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
,- Date 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.
Owner's Name and Address No J'' Street
Registered Architect and /or Engineer
Employing Electrician's Name No 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
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ ( Signec)
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 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 arc
licensed by Miami Shores Village.
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
(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 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.
APPLICATION FOR ELECTRICAL PERMIT
Permit No._ .._ - -- -- _-- - - - = --
ry
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 t ,
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot_ _____:
Street and Number where work is to be performed —No
t.,
State work to be performed and purpose of building (By Floors)
New Building
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the �adyrsigned on
es .
MIAMI S1-I O RES VILLAGE
i 1 t
ELECTRICAL INSPECTION DEPARTMENT
t?
My Commission Expires
t,
Service Overhead Size Feeders__ :________ Conduit._
Underground
Type of Installation— Conduit Tubing
Main Sw.
undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit: and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
.Block
No._ I t' '
Remodeling Addition ___ Repairs
,,
a7 –
B.X.L. Metal Moulding
Amount of Permit $ (Signed)
(Signed)
Date
Street
- – -- – - -- - - -- --
Subdivision-
- - - - -- Street- ___ _
Amps. Main Fuses _ Amps.
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has corn-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
nota public, ly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly s r' , 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 ail fatt_e
therein by him stated are true.
Y.
Notary Public. State of Florida
No. of Stories.__________
Master Electrican.
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
r
.
i
•
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
'
•
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No._ .._ - -- -- _-- - - - = --
ry
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 t ,
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot_ _____:
Street and Number where work is to be performed —No
t.,
State work to be performed and purpose of building (By Floors)
New Building
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the �adyrsigned on
es .
MIAMI S1-I O RES VILLAGE
i 1 t
ELECTRICAL INSPECTION DEPARTMENT
t?
My Commission Expires
t,
Service Overhead Size Feeders__ :________ Conduit._
Underground
Type of Installation— Conduit Tubing
Main Sw.
undersigned applicant for this building permit does hereby ce
under the Florida Workmen's Compensation Act, being Section 5966,
plied with the provisions thereof, and will require similar compliance
performed under this permit: and will post or cause to be posted for
required by the Act. The under signed agrees to employ only such
licensed by Miami Shores Village.
.Block
No._ I t' '
Remodeling Addition ___ Repairs
,,
a7 –
B.X.L. Metal Moulding
Amount of Permit $ (Signed)
(Signed)
Date
Street
- – -- – - -- - - -- --
Subdivision-
- - - - -- Street- ___ _
Amps. Main Fuses _ Amps.
Electrical Inspector.
rtify that he understands and accepts his obligations as an employer of labor
Compiled General Laws of Florida Permanent Supplement, and has corn-
from all contractors or sub - contractors employed by him in the work to be
inspection on the site of the work such public notice or notices as are
sub - contractors, on work to be performed under this permit, as are
nota public, ly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly s r' , 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 ail fatt_e
therein by him stated are true.
Y.
Notary Public. State of Florida
No. of Stories.__________
Master Electrican.
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.
7
SWITCH
OUTLETS
LIGHT
OUTLUTR
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE yY
HICATERI`'�asL
e.rry
TOTAL
T
2
2
1
1
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE -T._
PERM. JAIL; re Se: v
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIET
ST
150 amps
CHECK
O it a
w
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
pAA
Date I 2 9 — 6 �'
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 applicotion 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.
H. Guyton 1017 N.E. 95th
Owner's Name and Address No Street
Registered Architect and /or Engineer
L N ELECTRIC CC.INC. 1 Ave �1.itl. 7 th
Employing Electrician's Name N o
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Same as above Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling - Addition X Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
r , \
Amount of Permit $ (Signed) %��` 4-
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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
STATE OF FLORIDA,
COUNTY OF DADE. j �'
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.
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.
Owner's Name and Address J •AvQ1'7 Gwvtan No 107 Street....N.AE. 5....S.ta>`.cat
Registered Architect and /or Engineer
Employing Electrician's Name £t no.tt Electric Inc. No 34C0 Street. .. .II.L:i •-.S.v.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1017 N.E.9 Stk'ooti
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
2.00
88.
Date
Street
(Signed)....I... �.
;arch 49
Electrical Inspect
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations 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, 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.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.3 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
2al_Er— An wilts
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.
Owner's Name and Address J •AvQ1'7 Gwvtan No 107 Street....N.AE. 5....S.ta>`.cat
Registered Architect and /or Engineer
Employing Electrician's Name £t no.tt Electric Inc. No 34C0 Street. .. .II.L:i •-.S.v.
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 1017 N.E.9 Stk'ooti
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation -- Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, t
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
2.00
88.
Date
Street
(Signed)....I... �.
;arch 49
Electrical Inspect
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o ations 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, 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.
1
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE. 19
❑ PERMIT N° 3972 Contractor s
License No.
0
❑ Work to be performed under this Permit
Owner of
Building
CONTRACTOR OR BUILDER
B1
Address of Value of II Amount of
Building Project $ II 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 applica-
tion 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 :lamed 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 respon-
sibility for work done by his agents, servants or employees.
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 agent, servant or employee.
Subdi-
vision
BY AUTHORITY
ABBOT PRINT