1250 NE 97 St (6)APPLICATION FOR ELECTRICAL PIERMIT
Permit No / 1 S' Date <
Application is hereby m for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. / /
/
Owner's Name and Address '`,,J No Street._...2
Registered Architect and /or Engineer
v,7
Employing Electrician's Name
Street and Number where work is to be performed —No
STATE OF FLORIDA, 1
COUNTY OF DADE. I
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
7 7
G a
No /
J
yj
(Signed) /
Street
Location and Legal Description Lot Block Subdivision
�
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
e
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
HEATER
W. H EAT.
COP N.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
APPLICATION FOR ELECTRICAL PIERMIT
Permit No / 1 S' Date <
Application is hereby m for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. / /
/
Owner's Name and Address '`,,J No Street._...2
Registered Architect and /or Engineer
v,7
Employing Electrician's Name
Street and Number where work is to be performed —No
STATE OF FLORIDA, 1
COUNTY OF DADE. I
88.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
7 7
G a
No /
J
yj
(Signed) /
Street
Location and Legal Description Lot Block Subdivision
�
Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
e
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
11-_, 0
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications _herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Pi.
Registered Architect and /or Engineer
Employing Electrician's Name - ` �� `` `` %� No..��
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps 'Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed) a
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
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.
2 (Signed) (` 1
STATE OF FLORIDA, 1
COUNTY OF DADE. I
s s.
Date
Street.,. /
\
Street../
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electri
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
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
" �
e/ '
r'
i ,
; '
. - e '
/ }
_ '
U �
` 0 l
CHECK
ENT.
SW.
DIET.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
11-_, 0
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications _herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address Pi.
Registered Architect and /or Engineer
Employing Electrician's Name - ` �� `` `` %� No..��
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps 'Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed) a
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No
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.
2 (Signed) (` 1
STATE OF FLORIDA, 1
COUNTY OF DADE. I
s s.
Date
Street.,. /
\
Street../
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub - contractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
Master Electri
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary :Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No //
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address____ No Street
Registered Architect and /or Engineer,
Employing Electrician's Name No Street
Amount of Permit $__
STATE OF FLORIDA, l
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Location and Legal Description Lot - -__ —_ Block Subdivision
Street and Number where work is to be performed —No a 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
( Signed)
(Signed)
Date =5
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 Supplemer.i:, and
has complied with the provisions thereof, and will require similar compliance from all contractors or ab- contractors employed by him ;n 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 - oticcs
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to 1:e performed under this permit, as ara
licensed by Miami Shores Village.
Master Electrician.
COUNTY OF DADE. 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 lid sign ate sauce, 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 i:nproper notice for inspection, or fau'.ty
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.
CONV.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No //
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 Street
Registered Architect and /or Engineer,
Employing Electrician's Name No Street
Amount of Permit $__
STATE OF FLORIDA, l
APPLICATION FOR ELECTRICAL PERMIT
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Location and Legal Description Lot - -__ —_ Block Subdivision
Street and Number where work is to be performed —No a 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
( Signed)
(Signed)
Date =5
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 Supplemer.i:, and
has complied with the provisions thereof, and will require similar compliance from all contractors or ab- contractors employed by him ;n 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 - oticcs
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to 1:e performed under this permit, as ara
licensed by Miami Shores Village.
Master Electrician.
COUNTY OF DADE. 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 lid sign ate sauce, 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 i:nproper notice for inspection, or fau'.ty
materials and /or workmanship.
BUILDING f ] DATE._ 95
ELECTRICAL 1 PERMIT IT? 13954 Contractor's
PLUMBING 1 1 License No
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
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 bz 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
Bl.
Subdi-
vision
Value of
Project $
Amt. of
Permit $
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
L PERMIT N° 9116
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
DATE i. 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 autl orities. 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 co npliance 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.
BY AUTHORITY
Permit No I Z.
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, Fiurida,
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. ��
rk/
Owner's Name and Address t.,4 ,04I A L ole/c
Registered Architect and /or Engineer
•
i' Employing Electrician's Name alv 1 s►
Overhead
Service Size Feeders
Underground Type of Installation
appeared
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION F R ELECTRIC PERMIT
ss.
�`• y °/91/
-3/
MIAMI SH [ES VILLAGE
1s�
9. ;.
lye .%
Location and Legal Description Lot
j Street and Number where work is to be performed —No jj
State work to be performed and purpose of building (By Floors) 01. {,,
New Building Remodeling Addition..
ILT�
No
No 2.20 r N IA/ Street ^^ 1 7 W to •
Block Subdivision f.avl.
Street Rid
aviefulL
Repairs No. of Stories
Co PPF..p Q4��
Conduit. 1 4 Main Sw..... Amps Main Fuses 100 9 Amps
Tubing B.X.L .Metal Moulding
Amount of Permit $ t d ' S1 (Signed)
Ele rcal ctor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati..: as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per. nt Supplement, and
has complied with the provisions thereof, and will require similar compliance from all co tractors or sub-contractors a ployed by him in the
work to be performed under this permit; and will post or cause to be posted for inspecti• 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 f on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).
Date.. , ..c a 4 A/
Street
Applicant
Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authoized to administer oaths and take acknowledgments, personally
JOAQUIN VAZQUEZ
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
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
R A NO E
CONN.
WATER
H EATER
W. H EAT.
CONN.
SPACE
H EATER
STRIP
H EATER
�/C
TOTAL
CONTR.
LIST
sz.
d
/ 2.
.
4e.
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR,
LtGT
-
2 BOA
G
� O �
CHECK
Permit No I Z.
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, Fiurida,
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. ��
rk/
Owner's Name and Address t.,4 ,04I A L ole/c
Registered Architect and /or Engineer
•
i' Employing Electrician's Name alv 1 s►
Overhead
Service Size Feeders
Underground Type of Installation
appeared
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION F R ELECTRIC PERMIT
ss.
�`• y °/91/
-3/
MIAMI SH [ES VILLAGE
1s�
9. ;.
lye .%
Location and Legal Description Lot
j Street and Number where work is to be performed —No jj
State work to be performed and purpose of building (By Floors) 01. {,,
New Building Remodeling Addition..
ILT�
No
No 2.20 r N IA/ Street ^^ 1 7 W to •
Block Subdivision f.avl.
Street Rid
aviefulL
Repairs No. of Stories
Co PPF..p Q4��
Conduit. 1 4 Main Sw..... Amps Main Fuses 100 9 Amps
Tubing B.X.L .Metal Moulding
Amount of Permit $ t d ' S1 (Signed)
Ele rcal ctor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati..: as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Per. nt Supplement, and
has complied with the provisions thereof, and will require similar compliance from all co tractors or sub-contractors a ployed by him in the
work to be performed under this permit; and will post or cause to be posted for inspecti• 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 f on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed).
Date.. , ..c a 4 A/
Street
Applicant
Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authoized to administer oaths and take acknowledgments, personally
JOAQUIN VAZQUEZ
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.