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970 NE 94 St (4)Permit No Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE. I MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT S S. ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) Date ;- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith/ submitted or 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..:_ !'A= •=< <.r `s r ✓' i No Street Registered Architect and /or Engineer Employing Electrician's Name.. ( _ ..{ .:... ‘ / 't. �' t' " j1.. •- No Street Location and Legal Description Lot 3 Block Subdivision r'ie', 2_v 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 ectrical Inspector. The undersigned applicant for is building permit does hereby certify that he unders nd and accepts his obligations as an employer of labor under the Florida Workmen Compensation Act, being Section 5966, Compiled Ge 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 arc 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 I . 1. ( / / / / .),./. CHECK ' O V ' �• I ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / / / CHECK lot) f oV f AV c.) / e D Permit No Amount of Permit $ STATE OF FLORIDA, j COUNTY OF DADE. I MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT S S. ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) Date ;- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith/ submitted or 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..:_ !'A= •=< <.r `s r ✓' i No Street Registered Architect and /or Engineer Employing Electrician's Name.. ( _ ..{ .:... ‘ / 't. �' t' " j1.. •- No Street Location and Legal Description Lot 3 Block Subdivision r'ie', 2_v 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 ectrical Inspector. The undersigned applicant for is building permit does hereby certify that he unders nd and accepts his obligations as an employer of labor under the Florida Workmen Compensation Act, being Section 5966, Compiled Ge 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 arc 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. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 24. ( 1 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. Permit No / O9 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name (- - Location and Legal Description Lot Street and Number where work is to be performed —No ?1 i - .' Street State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to S S. My Commission Expires 30 No Street - .= No Street Block Subdivision .... 2 . //c- Repairs No. of Stories Amps .Main Fuses Amps 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 such public notice or notices be performed under this permit, as are licensed by Miami Shores Village. (Signed) Notary Public, State of Florida as Electrician. STATE OF FLORIDA, COUNTY OF DADE. I 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. 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 CUTLETS 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 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 24. ( 1 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. Permit No / O9 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name (- - Location and Legal Description Lot Street and Number where work is to be performed —No ?1 i - .' Street State work to be performed and purpose of building (By Floors) New Building ✓ Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Underground Type of Installation — Conduit Tubing B.X.L Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to S S. My Commission Expires 30 No Street - .= No Street Block Subdivision .... 2 . //c- Repairs No. of Stories Amps .Main Fuses Amps 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 such public notice or notices be performed under this permit, as are licensed by Miami Shores Village. (Signed) Notary Public, State of Florida as Electrician. STATE OF FLORIDA, COUNTY OF DADE. I 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. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL 121 DATE l s PLUMBING ❑ PERMIT N? 9853 8 5 3 Contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA f Bi. 1 Subdi- vision sq Ft Value of Project $ ✓ Amt. of Permit $ 1 - 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 ho(eunder 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 tesponsibility for all work done by either, myself, my agent, se ant or employee. BY AUTHORITY 1 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 Registered Architect and /or Engineer appeared APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires Service Overhead Site Feeders Conduit Underground Type of Installation— Conduit Tubing I d� � Amount of Permit $ 1 (Signed).... t (Signed) STATE OF FLORIDA, } COUNTY OF DADE. sa. Before me, the undersigned authority, a notary public, duly authorized Date. \ . 2 No 9 17 O /.A . Street The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cont work to be performed under this permit; and will post or cause to be posted for inspection on the site of the r as are required by the Act. The undersigned agrees to employ only such sub•contractors, on work to be p licensed by Miami Shores Village. to administer oaths and take 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 therein by him stated are true. 54sr Notary Public, State of Florida 6 Employing Electrician's Name.. j.taff..i °.t :% f,�,. L� ' " . V Flo c vJ Street -per Location and Legal Description Lot / Block Subdivision..i ..C., 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 Main Sw Amps Main Fuses Amps B.X.L Metal Moulding .... Electriunspector. o.ligations as an employer of Permanent Supplement, and ctors employed by him in the ork such public notice or notices ormed under this permit, as are Muter Electrician. acknowledgments, personally same, and that all facts 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. RACE HEATER STRIP HEATER TOTAL CONTR. LIST a. / / _ /_ �_ ' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 1 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 Registered Architect and /or Engineer appeared APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires Service Overhead Site Feeders Conduit Underground Type of Installation— Conduit Tubing I d� � Amount of Permit $ 1 (Signed).... t (Signed) STATE OF FLORIDA, } COUNTY OF DADE. sa. Before me, the undersigned authority, a notary public, duly authorized Date. \ . 2 No 9 17 O /.A . Street The undersigned applicant for this building permit does hereby certify that he understands and accepts his labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florid has complied with the provisions thereof, and will require similar compliance from all contractors or sub•cont work to be performed under this permit; and will post or cause to be posted for inspection on the site of the r as are required by the Act. The undersigned agrees to employ only such sub•contractors, on work to be p licensed by Miami Shores Village. to administer oaths and take 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 therein by him stated are true. 54sr Notary Public, State of Florida 6 Employing Electrician's Name.. j.taff..i °.t :% f,�,. L� ' " . V Flo c vJ Street -per Location and Legal Description Lot / Block Subdivision..i ..C., 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 Main Sw Amps Main Fuses Amps B.X.L Metal Moulding .... Electriunspector. o.ligations as an employer of Permanent Supplement, and ctors employed by him in the ork such public notice or notices ormed under this permit, as are Muter Electrician. acknowledgments, personally same, and that all facts NOTE: A re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 1 MIA #11 SHORES VILLAGE, FLORIDA DATF 195 — I PERMIT ' ? 12846 Contractor's License No ID Work to be performed under this Permit CONTRACTOR OR BUILDER Subdi- vision Value of Project $ u Amt. of Permit sl f 1 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 specification4ihat 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 comjliance 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 responty for work done by his agents, servants or employees. i �....+�� ' - Signed t _ BY �. INSPE TOR In consideration of the issuance to me of ibis 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, stateritarfts 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. BY AL mOKrrT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot PERMIT IT? 12710 n n Work to be performed under this Permit_ Value of Amt. of c. 1 �; \ ("1 1 4 , Project $ I Permit $ 1 ` "' 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 responubiiity for work done by his agents, servants or employees. ,.� Signed k..›'• i 1 �.. BY " i 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 MIAI SHORES VILLAGE, FLORIDA DATF / ' / % L- 195 Bl. Subdi- vision Contractor's License No BY AUTHORITY Permit No Amount of Permit 5- -. 9. 0 0 SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Employing Electrician's Name BURNS ... &...JAE No 3 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 L • G • YEATON No 970 (Signed) ..FRANK...M.AR Street NE 94St • Registered Architect and /or Engineer Street N W 7th St Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 97Q Street N ...E...411 ... ...94 St State work to be performed and purpose of building (By Floors)_... IIICCr. aaSe.... Ser. V. ice... k.. C'.( Z71fle .Ct--- A,iXtCOLldit-ion -•ing New Building Remodeling XX Addition Repairs No. of Stories Service Overhead Site 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 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 are licensed by Miami Shores Village. Notary Public, State of Florida STATE OP FLORIDA, l COUNTY OP DADE. 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. 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. S(ACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RADIO TOTAL CONTR. LIST 150 CHECK Permit No Amount of Permit 5- -. 9. 0 0 SS. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Employing Electrician's Name BURNS ... &...JAE No 3 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 L • G • YEATON No 970 (Signed) ..FRANK...M.AR Street NE 94St • Registered Architect and /or Engineer Street N W 7th St Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 97Q Street N ...E...411 ... ...94 St State work to be performed and purpose of building (By Floors)_... IIICCr. aaSe.... Ser. V. ice... k.. C'.( Z71fle .Ct--- A,iXtCOLldit-ion -•ing New Building Remodeling XX Addition Repairs No. of Stories Service Overhead Site 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 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 are licensed by Miami Shores Village. Notary Public, State of Florida STATE OP FLORIDA, l COUNTY OP DADE. 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. 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. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date Le ' a' Type Insp'n L _ 2 Permit No. � Name / m ,c/i'.0 "-' Address 7 Y ' 717 Company Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ 7 7.?"9©af