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1279 NE 97 St (4)�o. p Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /C Job Address / a 7 7 '"6 9 7 S T ' Tax Folio cg 06 ©l 4 i Legal Descriptio Owner / Lessee / Tenant Hie • Be ere Owner's Address / a 7 9 t1 5'7 ?' - Phone Contracting Co. K/ N /,� � GE'eT� -- Address .37e/ Cu_ J 4' &' GE'4 -!1 Qua lifierr�i,V/42»)24LZ•9 -2,4 ,•A Phone 5 " /dsV State #ER.wei Municipal # � • Competency # 143 S 7 1 ` n s.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address /6 Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION cER t c "//f1 C C %J A . > 4 - -. g1 Estimated Cost(value) 75=' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * .s111M ft .;r tor or Owner- Builder or r.9. • • Roth ei tior1dC er Sign- Date:/D ' 7 I F o ry as to Con My Comm * Master Permit # 3 Z % 7 2 Print type or starnp name o ovary u Personally known ❑CK produced I.D. 7yn .Rn;l n * I . produce* * ** FEES: PERMITS0.0 RADON C.C.F. 0 DID rake an oath, or NOT 1 i take an oatlIOTAL DUF 9� APPROVED: Fire .`// Other Zoning Building lectricD Mechanical Plumbing_ Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT 2 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 MPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER 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 HP 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 i DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & 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 L. • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL State work to be performed and purpose of building (By Floors) New Building. Remodeling Service Overhead Amount of Permit S 53 • �� STATE OP FLORIDA. COUNTY OF DADE. I s ` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ( 1....1..'J Date... ;' is hereby made for the approval of the detailed statement of the plane and specifications herewi submitted f Permit No.. Application d for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 'regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. .t- .. : `1 - 6y 1 Q No � � StreetitIL. t1 Registered Architect and /or Engineer Empl ying Ele �ciaA's >{�o t' .. I�'. ISS.1G.... '1"�dtF� P-Vi.:.No a . Lo on and Legal Description Lot '/ 7 Block 7 Subdivisio l Y.r 0 ll.Q Street and Number where work is to be performed —No ).� -net% ..Addition �cp Underground Size Feeders Conduit .Main Sw Amps.' Main F.uses.............. ;✓. ;, Amps Type of Installation -- Conduit \ Tubing B.X.L Metal Moulding (Signed) (Signed). Repairs ' 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 inspects n the site of the work such public notice or notices u are required by the Act. The undersigned agrees to employ only such sub•contracto o 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 1 appeared Q��.... ) /)-)S to me well known, and who, being by me first duly sworn, upon oath deposes of the above described construction, and he has carefully read the foregoing therein by him stated are true. ROTARY PUBLIC STATE OF FLORIDA RY COMMISSION EXP. APR 24,1990 .ONDEII I1 II 6E1JFRAJ INS LINO... My Commission Expires NOTE: A re-inspection fee of 31.00 will be made when such re-inspection materials and /or workmanship. application, and that oaths and says that he is the street ..._. tt .: . • c A C fr PI5D ..... ......... C ... . AP 33 No. of Storica. Master Electrician. and take .acknowledgments, personally he did sign the same, and that all facts Notary ,:b ie, Stnee of li:ria..i d made necessary by :m,propir notice for inspection, or faulty $wires OUTLETS Liam? OUTLETS PLUG RECE P ? S FIXTURES NO. LAMPS REIRIO. OUTLET IRON OUTLET RANGE OUTLET RANOE COMM. WATER HEATER W) NEAT. CONN. ' SPACE McATER STRIP NEATER TOTAL CONTR. LIST ( I 1 • t CHECK I , ENT. Sw. GIST. CAE. SERVICE TEMP. SSMVICC Pluto. 0 vve,R '- 3'd p , NeN morons 0.1 HP MOTORS 1.5 HP N ION TRANS. i RADIO TOTAL 1 CONTR. LIST CMICR_7N-N■ 1 , ..i Fi, State work to be performed and purpose of building (By Floors) New Building. Remodeling Service Overhead Amount of Permit S 53 • �� STATE OP FLORIDA. COUNTY OF DADE. I s ` MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ( 1....1..'J Date... ;' is hereby made for the approval of the detailed statement of the plane and specifications herewi submitted f Permit No.. Application d for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 'regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. .t- .. : `1 - 6y 1 Q No � � StreetitIL. t1 Registered Architect and /or Engineer Empl ying Ele �ciaA's >{�o t' .. I�'. ISS.1G.... '1"�dtF� P-Vi.:.No a . Lo on and Legal Description Lot '/ 7 Block 7 Subdivisio l Y.r 0 ll.Q Street and Number where work is to be performed —No ).� -net% ..Addition �cp Underground Size Feeders Conduit .Main Sw Amps.' Main F.uses.............. ;✓. ;, Amps Type of Installation -- Conduit \ Tubing B.X.L Metal Moulding (Signed) (Signed). Repairs ' 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 inspects n the site of the work such public notice or notices u are required by the Act. The undersigned agrees to employ only such sub•contracto o 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 1 appeared Q��.... ) /)-)S to me well known, and who, being by me first duly sworn, upon oath deposes of the above described construction, and he has carefully read the foregoing therein by him stated are true. ROTARY PUBLIC STATE OF FLORIDA RY COMMISSION EXP. APR 24,1990 .ONDEII I1 II 6E1JFRAJ INS LINO... My Commission Expires NOTE: A re-inspection fee of 31.00 will be made when such re-inspection materials and /or workmanship. application, and that oaths and says that he is the street ..._. tt .: . • c A C fr PI5D ..... ......... C ... . AP 33 No. of Storica. Master Electrician. and take .acknowledgments, personally he did sign the same, and that all facts Notary ,:b ie, Stnee of li:ria..i d made necessary by :m,propir notice for inspection, or faulty Permit No MIFF Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance. and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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. y Owner's Name and Address Hi�/d. - ES I. . 'ks..E No /a1 / Registered Architect and /or Engineer EGIG" P.JE / rs /CY EEmpployin Elec iciah's Name./ 4. Pc., 4:40c- No / &fon an /Legal ®on Lot. if Street and Number where work is to be performed —No /AI e State work to be performed and purpose of building (By Floors) ..... .O Q. 2L /I T C Q c f New Building Remodeling X 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 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 perfor tad under this permit, as are licensed by Miami Shores Village Amount of Permit $ �B STATE OF FLORIDA, COUNTY OF DADE. I °° APPLICATION FOR ELECTRICAL PERMIT Before me, the undersigned authority, a notary public, duly authorised 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Street (� Sin el Block Subdiviaioryyf A 4STG(✓C(!.c�i'�V' e (Signed) I (Signed) Master Electrician. 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. Date 7/ ' •f Street AJ E 17 5 Street A16 9-7 Notary Public, State of Florida SWITCH 0 LIGHT OUTLETS PLUG RECE'►'T'S FIXTURES NO LAM •S REIRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. MEAT. CONN. SPACE NEATER STRIP H TOTAL CONTR. LIFT CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO • TOTAL CONTR. LIST CHECK Permit No MIFF Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance. and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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. y Owner's Name and Address Hi�/d. - ES I. . 'ks..E No /a1 / Registered Architect and /or Engineer EGIG" P.JE / rs /CY EEmpployin Elec iciah's Name./ 4. Pc., 4:40c- No / &fon an /Legal ®on Lot. if Street and Number where work is to be performed —No /AI e State work to be performed and purpose of building (By Floors) ..... .O Q. 2L /I T C Q c f New Building Remodeling X 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 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 perfor tad under this permit, as are licensed by Miami Shores Village Amount of Permit $ �B STATE OF FLORIDA, COUNTY OF DADE. I °° APPLICATION FOR ELECTRICAL PERMIT Before me, the undersigned authority, a notary public, duly authorised 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Street (� Sin el Block Subdiviaioryyf A 4STG(✓C(!.c�i'�V' e (Signed) I (Signed) Master Electrician. 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. Date 7/ ' •f Street AJ E 17 5 Street A16 9-7 Notary Public, State of Florida -DING ❑ .ECTRICAL .LUMBING ❑ ;OOFING )wner of 3uilding Architect contractor or Builder Legal Lot Description "ddress of '3uilding f IN? 11011 ❑ Work to be performed under this Permit— # �. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BL Subdi- vision Value of Project $ BY DATE. ,r04 195 Contractor's License No._ x- "K.-- .lu r. Amt. of Permit ;0#0. t _ ..,.� This permiti 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 wfth 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. d Signed' % " ,.,. BY E ''' IMPEL (UR 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. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA C, PERMIT N? 13657 n ❑ Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE -^ 195 Contractor's License No Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No .. 7 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEP' APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Location and Legal Description Lot ccx Registered Architect and /or Engine r �� Employing Electrician's Name !.. C1, No Street Street and Number where work is to be performed —No 7 Block .3 Subdivision. No Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Undehground Size Feeders 4 1 Conduit ‘112 Main Sw Amps Main Fuses Amps Type of Installation — Conduit TubinY B.X.L Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understan s 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. STATE OF FLORIDA, } COUNTY OF DADE. 8 S. . (Signed) (Signed)._ .9�� � `f?4 aai ` \ --"4- 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. 0 Electrical Inspector. Master Electrician. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG REC d FIXTURES NO. LAMPS P T /, ® REFRIO. OUTLET t / N IRON OUTLET RANGE OUTLET it RANGE CONN. MOTORS 0.1 HP WATER HEATER 1 7_. MOTORS 1.5 HP W. HEAT. CONN. 1 � NEON TRANS. ,�1/�Sil SPACE HEATER &A...1_, ' STRIP HEATER v RADIO �: i .� S. TOTAL TOTAL CONTR. '�_� I�A., �6' S AS' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. CONTR. LIST / ° )((� J CHECK J O O ��j pp Ii ) , 1 � r f - c .+- -mac � A _ 0 Permit No .. 7 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEP' APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Location and Legal Description Lot ccx Registered Architect and /or Engine r �� Employing Electrician's Name !.. C1, No Street Street and Number where work is to be performed —No 7 Block .3 Subdivision. No Street Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Undehground Size Feeders 4 1 Conduit ‘112 Main Sw Amps Main Fuses Amps Type of Installation — Conduit TubinY B.X.L Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understan s 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. STATE OF FLORIDA, } COUNTY OF DADE. 8 S. . (Signed) (Signed)._ .9�� � `f?4 aai ` \ --"4- 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. 0 Electrical Inspector. Master Electrician. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.