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746 NE 94 St (6)!Inspection Number: INSP -794 Inspection Date: 01/05/2006 Inspector: Devaney, Michael Owner: Job Address: Project: Contractor: GUTTER, VIVIANE 746 94 Street NE Miami Shores Village, FL <NONE> P & M ELECTRIC INC Building Department Comments Wednesday, January 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -12 -05 -331 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060141660 Lot: Phone: 305 - 949 -6373 Page 2 of 2 Passed Inspector Comments ,),‘,/i4 J/9 " Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until !Inspection Number: INSP -794 Inspection Date: 01/05/2006 Inspector: Devaney, Michael Owner: Job Address: Project: Contractor: GUTTER, VIVIANE 746 94 Street NE Miami Shores Village, FL <NONE> P & M ELECTRIC INC Building Department Comments Wednesday, January 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -12 -05 -331 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060141660 Lot: Phone: 305 - 949 -6373 Page 2 of 2 Inspection Number: INSP -1508 Permit Number EL -12-05 -331 Inspection Date: 12/07/2005 Inspector: Devaney, Michael Owner: GUTTER, VIVIANE Job Address: 746 94 Street Project: <NONE> Miami Shores Village, FL Contractor: P & M ELECTRIC INC Building Department Comments Wednesday, December 7, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060141660 Lot: Phone: 305 - 949 -6373 Page 1 of 2 1 Passed Inspector Comments l°./ - " i / 7/-- /"'°./ r- : Vie- ��S El Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -1508 Permit Number EL -12-05 -331 Inspection Date: 12/07/2005 Inspector: Devaney, Michael Owner: GUTTER, VIVIANE Job Address: 746 94 Street Project: <NONE> Miami Shores Village, FL Contractor: P & M ELECTRIC INC Building Department Comments Wednesday, December 7, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060141660 Lot: Phone: 305 - 949 -6373 Page 1 of 2 Inspection Number: INSP -1508 Inspection Date: 12/07/2005 Inspector: Devaney, Michael Owner: GUTTER, VIVIANE Job Address: 746 94 Street Project: <NONE> Miami Shores Village, FL Contractor: P & M ELECTRIC INC Building Department Comments Wednesday, December 7, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit`Numbe : EL -12 -05 -331 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Phone Number Parcel Number 1132060141660 Lot: Phone: 305 - 949 -6373 Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -1508 Inspection Date: 12/07/2005 Inspector: Devaney, Michael Owner: GUTTER, VIVIANE Job Address: 746 94 Street Project: <NONE> Miami Shores Village, FL Contractor: P & M ELECTRIC INC Building Department Comments Wednesday, December 7, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit`Numbe : EL -12 -05 -331 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Phone Number Parcel Number 1132060141660 Lot: Phone: 305 - 949 -6373 Page 2 of 2 746 NE 94TH STREET 305/588 -9724 Passed Inspect• -•1. • � / / 0 411 `i✓ d I, Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 12/07/2005 Inspector: Devaney, Michael Owner: GUTTER, VIVIANE Job Address: 746 94 Street Project: <NONE> Miami Shores Village, FL Contractor: P & M ELECTRIC INC Building Department Comments Wednesday, December 7, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: Underground Rough Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060141660 Lot: Phone: 305 - 949 -6373 Page 1 of 2 Issue Date: 9/21/2005 Owner's Name: VIVIANE GUTTER Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 746 94 Street Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 09/19/2006 Contractor(s) P & M ELECTRIC INC Phone 305 - 949 -6373 Primary Contractor Yes Additional Information Type of Work: Additional Info: 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -12 -05 -331 Phone: 1132060141660 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,300.00 Required Inspections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Fees Due CCF Education Surcharge Miscellaneous Fee Permit Fee - Additions /Alterations Scanning Fee Total: Amount $1.80 $0.60 $50.00 $100.00 $3.00 $155.40 Invoice Number EL Total: Amt Due $155.40 Amt Paid $155.40 $155.40 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village FBC 2001 Permit Type (circle): Building Tenant/Lessee Name $ Value of Work For this Permit d.. Type of Work: Describe Work: Total Fee Now Due $ ❑Addition Code Enforcement $ (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. E) O S 2. J1 PERMIT APPLICATIOIV, g L�J Master Permit No. Owner's Name (Fee Simple Titleholder) \I \>7 WNe C reC Phone # Owner's Address 1 L k LD C \\•"\ -\4e) City M\ \Navt, S �e,S State Job Address (where the work is being done) 1 6 w-:-_ c\ cj--cs City Miami Shores Village County Miami - Dade Zip .. n\33 Is Building Historically Designated YES NO Contractor's Company Name P ‘A-` IA \e.G -\'C \C, i 1 nc, , Contractor's Address \s W Z .- \`1, S" C , City ;V , V\NW State .* \. Zip 2�) 6\ Qualifier c_x7N --- "\ --- \\W 5\1',v Architect/Engineer's Name (if applicable) Phone # Iteration ❑New i c. o e * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * * * * * * * * * * * * �* r , Submittal Fee $ Permit Fee $ /.S 6P r cP o CCF $ 1 • .. CO /CC - -- Notary $ Training/Education Fee $ • Scanning $ 3 •Gr 7 Radon $ Zoning Structural Plan Review. $ 455. 40. �� p ?MD Plumbing Mechanical Roofing Zip Phone # Phone # 14j Q`\ ��13 Square Footage Of Work: ❑ Repair/Replace ** * * * ** Bond $ Technology Fee $ 3. 7S ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Si ature� �-� \ \ C'V"`'� C NOTARY P Sign: Print: Chc 12/15/03 Owner or Agent Contractor n The foregoing instrument was acknowledged before me this /3' The fore oing instrument was acknowledged before me this i."1 day of Sell / , 20&3", by , day of , 20 by, <U TrCL5 1' wh is personally l me or who has produced who is personally known s me or who has produced As identification and who did take an oath. a• ide tification and who did take an oath. APPLICATION APPROVED BY: 2 tary Public State of Florida n Thrasher My,Commission 00420065 SS t$. 4/r. , /1109 NOTARY PUBLIC: Sign: Print: (Certificate of Competency Holder) My Commission Expires: My Commis ion Expires: GY dt ga` ` ************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * { � N 9#2 , 3# k * ** � Q= Expit.�',: Jul 13, 20t' % . . . : titmded I I, State Certificate or Registration No. Certificate of Competency No. " P.tl:aotin tinnr+mn rc *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** to v'em-ir Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS X06 DUCT WORK FLOOR DRAIN SERVICE REPAIR/NETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - ' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER-WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PUMP S ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL ELECTRICAL CONTRACTORS 1936 N.E. 148th Street North Miami, Florida 33181 (305) 949 -6373 Dade CC #16353 Broward CC#86-CME-1 046-X 200a Meter/ main 2" U.G. from FPL No.4 gr. cond. z' 11/2 "c. w/ (3) 2/0 THHN 1 0 c.w.g• Laundry Room 200a MLO 20140 Panel A Vivienne Gutter 746 NE 94th Street Miami Shores, FL. 33138 &-/-/-/fr 10' gr. rods min apart —� • • •• • • • • •• ••• • • • • • • ••• • •• ••• • •• • • • • • • • • ••• • •• ••• • • • • • • • • • • • • • • •• • • • • • • •• • • • • • • • • • • • • • • • ••• • • • • • • • ••• • • • • • • • ••• • • • • • • • • • • • • ••• •• •• • • • • • • • • • • ••• •• •• BUILDING ELECTRICAL PLUMBING Owner of Building Architect_ Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N9 3053 Work to be performed under this Permit Legal Lot BI. Description Address of ' .y Building a F 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 regula- tions 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 Subdi- vision Value of Project Contractor's License No. Amt. of Permit NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician Dated , 19 e1iami Aores9llage F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , 19 DESCRIPTION OF WORK NUMBER OF LO CATI 0 N e N° 208 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. ' 1 (Seal) BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3127 Work to be performed under this Permit Subdi- vision Value of Project DATE 194_ 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 tq me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions 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 Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3038 Work to be performed under this Permit Architect Contractor or Builder Subdi- vision DATE 194..,: Contractor's License No. Legal Lot Bl. Description Address of Building 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 regula- tions 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. Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY JOB: BUILDING ELECTRICAL PLUMBINB. • • 0 • • • ADD dORK : DONE BY: / . REQUESTED • 4 ( .4 ( • - The following is ready for Inspection:- Inspector's Report:- / 1 y BE:41LADY / /A A ' _ --• , k i , N c �0 JOB: BUILDING ELECTRICAL PLUMBIND ADD• ,'` -(� • WORK • DONE BY: • The following is ready or inspection : - Inspector's Report:- f1?. • • REQUESTED a ▪ WILL BE READY 1 1 ELECTRICAL INSPECTION DEPARTMENT Permit N ,____ (! —_ building during progress of work. � C MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Application is hereby rli for the approval of the detailed statement of the plans and specifications herewith subYttitte for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi t 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 Owner's Name and Address _ Fi,_4 L Registered Architect and /or Engineer Employing Electrician's Name _ Location and Legal Description Lot 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.. Block Service Overhead Size Feeders.__:_— Conduit._ Main Sw. Underground Amount of Permit $ STATE OF FLORIDA, k COUNTY OF DADE. (Signed) (Signed =f No. - %_l�__✓�_ Street — – – — _ - -- – – — Amps. Date. Street Subdivision_ Main Fuses_ Type of Installation— Conduit Tubing ___ B.X.L. .Metal Moulding ____________________________ Electril.1 Inspector. The undersigned applicant for this building permit does hereby certify that h/'nderstands and accepts his obligations as a ' employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled ;general Laws of Florida Permanent Suppler ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by ' tm 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 •otice 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, licensed by Miami Shores Village. • , � � n . mo 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, 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. My Commission Expires Notary Public. State of Florida Amps. as Master Electrican. are 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 RANG E CONN/ WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ELECTRICAL INSPECTION DEPARTMENT Permit N ,____ (! —_ building during progress of work. � C MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Application is hereby rli for the approval of the detailed statement of the plans and specifications herewith subYttitte for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi t 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 Owner's Name and Address _ Fi,_4 L Registered Architect and /or Engineer Employing Electrician's Name _ Location and Legal Description Lot 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.. Block Service Overhead Size Feeders.__:_— Conduit._ Main Sw. Underground Amount of Permit $ STATE OF FLORIDA, k COUNTY OF DADE. (Signed) (Signed =f No. - %_l�__✓�_ Street — – – — _ - -- – – — Amps. Date. Street Subdivision_ Main Fuses_ Type of Installation— Conduit Tubing ___ B.X.L. .Metal Moulding ____________________________ Electril.1 Inspector. The undersigned applicant for this building permit does hereby certify that h/'nderstands and accepts his obligations as a ' employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled ;general Laws of Florida Permanent Suppler ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by ' tm 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 •otice 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, licensed by Miami Shores Village. • , � � n . mo 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, 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. My Commission Expires Notary Public. State of Florida Amps. as Master Electrican. are 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 N .____ . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subBtitte for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi i 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. a Owner's Name and Address _ � �! _ —� " ��£_��_:____ No.__ 7 Registered Architect and /or Engine Employing Electrician's Name _ ' _ � K � �'"�r1'�� f-cf� No. __: 0 _______ Location and Legal Description Lot__ 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 Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Service Overhead Size Feeders_ Conduit Underground Type of Installation— Conduit Tubing __ B.X.L Metal Moulding STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, My Commission Expires .MIAMI SHORES VILLAGE Block Main Sw. — Amps. • (Signed) (Signed Date !1 Street_ Main Fuses_ Amps. No. of Stories Electri .1 Inspector. The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Permanent Supple /ent, and has com- plied with the provisions thereof, and will require similar, compliance from all contractors or sub - contractors employed by • m in the work to be performed under this permit: and will post or cause to be posted for inspection on the site the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on o rk to bep�erformed under this permit, as are licensed by Miami Shores Village. j a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida Master Electrican. 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 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'8 FIXTURES NO.LAMPS REFRI G. OUTLET IRON OUTLET RANGE OUTLET RANGE CON WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CONTR. LIST • 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 N .____ . Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subBtitte for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi i 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. a Owner's Name and Address _ � �! _ —� " ��£_��_:____ No.__ 7 Registered Architect and /or Engine Employing Electrician's Name _ ' _ � K � �'"�r1'�� f-cf� No. __: 0 _______ Location and Legal Description Lot__ 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 Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Service Overhead Size Feeders_ Conduit Underground Type of Installation— Conduit Tubing __ B.X.L Metal Moulding STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, My Commission Expires .MIAMI SHORES VILLAGE Block Main Sw. — Amps. • (Signed) (Signed Date !1 Street_ Main Fuses_ Amps. No. of Stories Electri .1 Inspector. The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Permanent Supple /ent, and has com- plied with the provisions thereof, and will require similar, compliance from all contractors or sub - contractors employed by • m in the work to be performed under this permit: and will post or cause to be posted for inspection on the site the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on o rk to bep�erformed under this permit, as are licensed by Miami Shores Village. j a notary public, duly authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida Master Electrican. 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 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. ea Permit No. APPLICATION FOR ELECTRICAL PERMIT Date c Application hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure here! 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 s.ecified or not. A copy of approved plans and specifications must be kept at building durini progress of wor e__' �_ ._ Owner's Name and Address Registered Architect and /or Engineer ___ Employing Electrician's Name G u r _ ______________ No.________ Street Location and Legal Description Lot_ _Block L2 —J Street and Number where work is to be performed —No 1' State work to be performed and purpose of building (By Floors) New Building — ____,_____________ Remodeling Service Overhead Size Feeders_ Conduit____ ___ Main Sw Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. t ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed My Commission Expires Street---- __ __ ____ Street Addition.. Repairs. (Signed) __ __� Subdivision_ — No. of Stories Amps. Main Fuses___ ____—____Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding _________________________________________ Ele6trtcal Ins ctor. The undersigned applicant for this building permit does hereby certify t e understands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi ed 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 perOmed 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. 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 be is the of the above described construction. that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida 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'8 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST I ' /�/-,- 1 �( - II /f / CHECK ✓ ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE RERM. MOTORS O.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK ea Permit No. APPLICATION FOR ELECTRICAL PERMIT Date c Application hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure here! 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 s.ecified or not. A copy of approved plans and specifications must be kept at building durini progress of wor e__' �_ ._ Owner's Name and Address Registered Architect and /or Engineer ___ Employing Electrician's Name G u r _ ______________ No.________ Street Location and Legal Description Lot_ _Block L2 —J Street and Number where work is to be performed —No 1' State work to be performed and purpose of building (By Floors) New Building — ____,_____________ Remodeling Service Overhead Size Feeders_ Conduit____ ___ Main Sw Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. t ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed My Commission Expires Street---- __ __ ____ Street Addition.. Repairs. (Signed) __ __� Subdivision_ — No. of Stories Amps. Main Fuses___ ____—____Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding _________________________________________ Ele6trtcal Ins ctor. The undersigned applicant for this building permit does hereby certify t e understands and accepts his obligations as a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compi ed 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 perOmed 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. 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 be is the of the above described construction. that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. Notary Public. State of Florida 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. teti Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith «ubmitted 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 Vi ge and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A, y of approved plans and specifications must be kept at building during progress of work. /� Owner's Name and Address �G.- No._., Registered Architect and /or En .'neer Employing Electrician's Name Location and Legal Description Lot Block Subdivision Ai 6 /1(k Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $ (Signed) 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. STATE OF FLORIDA, } COUNTY OF DADE. sa. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No a._ Street .. ,,te/ 1 0 7 / - ' (Signed) Date Street 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 , '4 1 1` 4 Street..M - 9 ct lig - Electncel In: pector. ccepts hi obligations as an employer of of Flo l a Permanent Supplement, and sub,. tractors employed by him in the of e work such public notice or notices be performed under this permit, as are ' 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 LIOHT OUTLETS PLUG RECE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER 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 / / A CHECK teti Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith «ubmitted 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 Vi ge and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A, y of approved plans and specifications must be kept at building during progress of work. /� Owner's Name and Address �G.- No._., Registered Architect and /or En .'neer Employing Electrician's Name Location and Legal Description Lot Block Subdivision Ai 6 /1(k Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Amount of Permit $ (Signed) 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. STATE OF FLORIDA, } COUNTY OF DADE. sa. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT No a._ Street .. ,,te/ 1 0 7 / - ' (Signed) Date Street 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 , '4 1 1` 4 Street..M - 9 ct lig - Electncel In: pector. ccepts hi obligations as an employer of of Flo l a Permanent Supplement, and sub,. tractors employed by him in the of e work such public notice or notices be performed under this permit, as are ' 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. Permit No k'0 A^' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.....! .x.��.,1 r'.�..,1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of o1 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :i 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 Divis{ of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work. Owner's Name and Address '`f41t Wei g 2 Registered Architect and/or Engineer q �t d , t I �7 ,� Employing cytrici�a g �1amf ef ,4t� C��Q c'�'•` No I�) �2 /t/"�/ Street ....) J . . cation and Legal Description • Lot 8 �ai q Block...h.5 Subdivision 9 /4 5' , Street and Number where work is to be performed —No v / t 1..�!... . �tiE Street .... .. . .. .( Sr"' c' 7 State work to be performed and purpose of building (By Floors) ) vICr $4Se_ 5'erv. I.0 a..00 *z'1t I C(.l e.. 1 t (- ( New Building Remodeling Addition Repairs `� No. of Stories T STATE OF FLORIDA, } COUNTY OP DADE. de. (Signed) No ` Street E 9 (t s r 6'8,5" - 6 service Overhead Site Feeders Conduit Main Sw Amps 1° 3 Main Fuses Amps Underground Type of Installation -- Conduit Tubing.. ... B.X.L.. .Metal Moulding Amount of Permit $ 00 (Signed)...Mi..C±A .. Electric.] 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 nub- contractors, orY to be performed under this permit, as are licensed by Miami Shores Village. 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 LIOHT OUTLETS PLUG RECE'P'T's FIXTURES NO LAMPS REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. HEAT. CONN. SPACE H STRIP H TOTAL CONTR. LIST 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 k'0 A^' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.....! .x.��.,1 r'.�..,1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of o1 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :i 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 Divis{ of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept building during progress of work. Owner's Name and Address '`f41t Wei g 2 Registered Architect and/or Engineer q �t d , t I �7 ,� Employing cytrici�a g �1amf ef ,4t� C��Q c'�'•` No I�) �2 /t/"�/ Street ....) J . . cation and Legal Description • Lot 8 �ai q Block...h.5 Subdivision 9 /4 5' , Street and Number where work is to be performed —No v / t 1..�!... . �tiE Street .... .. . .. .( Sr"' c' 7 State work to be performed and purpose of building (By Floors) ) vICr $4Se_ 5'erv. I.0 a..00 *z'1t I C(.l e.. 1 t (- ( New Building Remodeling Addition Repairs `� No. of Stories T STATE OF FLORIDA, } COUNTY OP DADE. de. (Signed) No ` Street E 9 (t s r 6'8,5" - 6 service Overhead Site Feeders Conduit Main Sw Amps 1° 3 Main Fuses Amps Underground Type of Installation -- Conduit Tubing.. ... B.X.L.. .Metal Moulding Amount of Permit $ 00 (Signed)...Mi..C±A .. Electric.] 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 nub- contractors, orY to be performed under this permit, as are licensed by Miami Shores Village. 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. Da Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2214 Building Inspection equest•4? 0 Time Type Insp'n .e' Permit No. L 2_ oo 3 - 1 Name Address Z N., F • iN S - Compan pc, [ v\ ci2.9.4jiN Phone 0 S ' b 313 For Inspector: / 2 7( 0 3 = Name