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ELECTRICALBUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building DATE PERMIT N. 10040 1 f ib 4 : 7 7 / A; / 74 .44/ , • f) L ' f t: ( , t....,: ,,••:'..; .A.,. .': .....,, . 7 e 5 A Lot • ."k. MIAMI SHORES VILLAGE, FLORIDA. Work to be performed under this Permit "1 Pi 1 I* CONTRACTOR OR BUILDER BI. Subdi- vision Ai' Project $ Value of • d This permit is granted to the contractor or builder named above t construct the building or to ijstall the equipment or devi herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities.. hi time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A furthk s granted is the understanding that the contractor or builder named above assumgs the responsibility for a thor ugh wledgil o pertaining to the work covered hereby whether shown on the plans or drawingy or in the statements or, sp iligh nd that done by his agents, servants or employees. „,•••• BY Amt. of Permit Contractor's License No. $ 195(01. described in the applicalloo compliance with any plans, it may be revoked at any ft upon which this permit is Ardinances and regulations umes responsibility for work Signed• INstui OR th In consideration of the issuance to me of this permit I agree to perform the to& vlifetted hivOtrder in . co,4pliance with all/ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, stat-,■! to the proper authorities of Miami Shores Village. a. In accepting this permit I sume responsibility for all work done by ei In& * kr, servant or employee. AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot n PERMIT N? 13606 n Work to be performed under this Permit Bl. Subdi- vision • Value of Project $ DATE 195 Contractor's License No Amt. of 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 assumes 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 Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 10194 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description address of uilding Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of 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 efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 ited is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations aining 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 e 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 ,ining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ccepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 No Registered Architect and /or Engineer Employing Electrician's Name ..z.. '.V No fJ... Street. ...�.�.. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE l j SS. (Signed) duly authorized Date Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Street. i9 .9 I , s :. c Subdivision A 4 d Street.... • ( 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 (Signed) Electrical Inspector. The undersigned applicant for . is building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workme . 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 yermit, as are licensed by Miami Shores Village. 2 /' / Master E1ectrjcian. 0 / to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -t HP MOT NEON TRANS. RADIO TOTAL CONTR. UST ...... / 1 i CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 No Registered Architect and /or Engineer Employing Electrician's Name ..z.. '.V No fJ... Street. ...�.�.. Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE l j SS. (Signed) duly authorized Date Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) Street. i9 .9 I , s :. c Subdivision A 4 d Street.... • ( 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 (Signed) Electrical Inspector. The undersigned applicant for . is building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workme . 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 yermit, as are licensed by Miami Shores Village. 2 /' / Master E1ectrjcian. 0 / to administer oaths and take acknowledgments, personally Before me, the undersigned authority, a notary public, 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 q 7. Employing Electrician's Name New Building Remodeling STATE OF FLORIDA, 1 COUNTY OF DADE. ! j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ,/,/r7174 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. l - � Owner's Name and Address No / Y ® Street 58. Street and Number where work is to be performed —No f ? No 49 O a Registered Architect and /or Engineer Street � ;° Location and Legal Description Lot Block Subdivision Street State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ Addition Repairs No. of Stories 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. .m a c• tractors or work to be ¢erformed 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 ub• contractors, i'n work to licensed by Miami Shores Village. Main Sw Amps Main Fuses Amps B.X.L Metal Moulding (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work sum public notice or notices be perform ! under this arm as are ( SIR d) 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 therein by him stated are true. did sign 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. 1 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. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.I HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST // n /! o ,�` � v n 1, a- 4,r C CHECK Permit No q 7. Employing Electrician's Name New Building Remodeling STATE OF FLORIDA, 1 COUNTY OF DADE. ! j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ,/,/r7174 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. l - � Owner's Name and Address No / Y ® Street 58. Street and Number where work is to be performed —No f ? No 49 O a Registered Architect and /or Engineer Street � ;° Location and Legal Description Lot Block Subdivision Street State work to be performed and purpose of building (By Floors) Service Overhead Size Feeders Conduit Underground Type of Installation — Conduit Tubing Amount of Permit $ Addition Repairs No. of Stories 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. .m a c• tractors or work to be ¢erformed 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 ub• contractors, i'n work to licensed by Miami Shores Village. Main Sw Amps Main Fuses Amps B.X.L Metal Moulding (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work sum public notice or notices be perform ! under this arm as are ( SIR d) 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 therein by him stated are true. did sign 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. 1 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195 p PERMIT N° 3663 Contractors License No. ' , , .,,-: D Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description — Bl Address of Building - This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes 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 Village. In ac- cepting this permit 1 assume responsibility for all work done by either, myself, my agent, servant or employee. Subdi- vision Value of Amount of Project $ Permit $ CONTRACTOR OR BUILDER BY AUTHORITY a� Permit No. a Own&r's Name and Address_ C lew Building 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 $hall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work No _ � d2/Z_ Registered Architect and /or Engineer_ Employing Electrician's Name • j • * _`_: —___ No Location and Legal Description Lot dj1__ a�� -' Street and Number where work is to be performed— No._____ State work totez7formed and purpose of building (By Floors) _Remodeling_ Addition Repairs No. of Stories______ Block kl '_ —!_ Service I � 11 p Underground Size Feeders_ Conduit_' Main Sw. __Amps Main Type of Installation Condui _______ Tubing___ __ B.X.L. __ __ Metal Moulding Amount of Permit $ ... - __---...... ---- - -..... ✓ STATE OF FLORIDA, COUNTY OF DADE. } ss. (Signed) _ Date_ /® Subdivisio ___ lectrical Inspector. Master Electrician. The undersigned applicant for this building permit does hereby certify that he u derstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil General Laws of Florida Perinanent 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 p osted 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 - contractor in w k to `� perform er -permit, as are licensed by Miami Shores Village. ' i % 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 A 4/®- / / 62 CHECK .// • ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 3 CHECK Permit No. a Own&r's Name and Address_ C lew Building 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 $hall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work No _ � d2/Z_ Registered Architect and /or Engineer_ Employing Electrician's Name • j • * _`_: —___ No Location and Legal Description Lot dj1__ a�� -' Street and Number where work is to be performed— No._____ State work totez7formed and purpose of building (By Floors) _Remodeling_ Addition Repairs No. of Stories______ Block kl '_ —!_ Service I � 11 p Underground Size Feeders_ Conduit_' Main Sw. __Amps Main Type of Installation Condui _______ Tubing___ __ B.X.L. __ __ Metal Moulding Amount of Permit $ ... - __---...... ---- - -..... ✓ STATE OF FLORIDA, COUNTY OF DADE. } ss. (Signed) _ Date_ /® Subdivisio ___ lectrical Inspector. Master Electrician. The undersigned applicant for this building permit does hereby certify that he u derstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil General Laws of Florida Perinanent 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 p osted 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 - contractor in w k to `� perform er -permit, as are licensed by Miami Shores Village. ' i % 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 3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date... 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. Amount of Permit $ (Signed) No 1 - Registered Architect and /or Engineer..,41 ; , Employing Electrician's Name No.. l!�� Street../.e' .. Location and Legal Description Lo Block Subdivision Street and Number where work is to be performed—No / f :r e .-9 I i r • - (- Street ..1 ..a ..: %......... ✓ , 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 Street../1 L ■ r Elect cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed STATE OF FLORIDA, 1 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. Master Electrician. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL LIST L - - (� CHECK j" % i7 /, // ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. IST LIST a CHECK Permit No 3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date... 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. Amount of Permit $ (Signed) No 1 - Registered Architect and /or Engineer..,41 ; , Employing Electrician's Name No.. l!�� Street../.e' .. Location and Legal Description Lo Block Subdivision Street and Number where work is to be performed—No / f :r e .-9 I i r • - (- Street ..1 ..a ..: %......... ✓ , 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 Street../1 L ■ r Elect cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed STATE OF FLORIDA, 1 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. Master Electrician. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.