Loading...
360 NE 97 St (9)MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date..J 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...TZ .46� /e le Registered Architect and /or Engineer / Employing Electrician's Name t>/ ' C1/1C.' Ai/ Al �. —( No Street., ��`��'' Permit No. 35 Z v State work to be performed and purpose of building (By Floors) Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OP DADE. I 10 E9. My Commission Expires (Signed) (Signed).. No 0 Street 6 9 7 d� Location and Legal Description Lot Block Subdivision and Number where work is to be performed —No . ' ® Street . :" .' 41614,,E ,cr eg ✓ ,, //// r�i¢. New Building Remodeling Addition Repairs No. of Stories 3 ,/ r Service Overhead Size Feeders... �� Conduif 1' Main SW�k .r/ A Underground Ames Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding 6}PZ Electrical pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s o.' igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl•rida ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-c• ractors 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 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. 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. ACE HATER STRIP HEATER en•nd T OTAL CONTR. L IST . � / c CHECK °L 'tom 3, 1,00 ENT. SW. GIST. CAB. SERVICE TEMP. SERVICE PERM. i7(5t6' / MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO 'TOTAL CONTR. LIST CHECK '. / MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date..J 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...TZ .46� /e le Registered Architect and /or Engineer / Employing Electrician's Name t>/ ' C1/1C.' Ai/ Al �. —( No Street., ��`��'' Permit No. 35 Z v State work to be performed and purpose of building (By Floors) Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OP DADE. I 10 E9. My Commission Expires (Signed) (Signed).. No 0 Street 6 9 7 d� Location and Legal Description Lot Block Subdivision and Number where work is to be performed —No . ' ® Street . :" .' 41614,,E ,cr eg ✓ ,, //// r�i¢. New Building Remodeling Addition Repairs No. of Stories 3 ,/ r Service Overhead Size Feeders... �� Conduif 1' Main SW�k .r/ A Underground Ames Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding 6}PZ Electrical pector. The undersigned applicant for this building permit does hereby certify that he understands and accepts s o.' igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl•rida ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-c• ractors 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 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. 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 ❑ MIAMI SHORES VILLAGE, FLORIDA Date ELECTRICAL ;K( PLUMBING 111 PERMIT N? 8980 ROOFING ❑ Owner of Building Architect Contractor / or Builder / ' ` " 5' - 4 1 ' Ci II Legal Lat Description j BI. Address of Building le CONTRACTOR or BUILDER Work to be performed under this Permit - Contractor's Q License No. g Subdi- visiott — Sq. Ft. , 1 Value of Amount of c' Project $ 11 Permit $ 19.1 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 applica- tion 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 respon sibility for work done by his agents, servants or employees. ! / Signed• 141 li r ' /2 << f 7'° l4/C. (INSPECTOR) BY In consideration of the issuance to me of this permit I ree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dr ings, 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, fay agent, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING 111 Date e t 190 ELECTRICAL III PLUMBING 0 PERMIT N? 9163 Contractor's otabs.:1 ROOFING License No. CI Owner of Building Architect Contractor or Builder Legal Description Address of Building Work to be performed under this Permit • t I Lot ear CONTRACTOR or BUILDER - 70.411. r1 3 4. ) j! B1 I .00•7 • -111. :17 t 7 I Subdi- vision Sq. Ft. Value of Project $ Amount of 11 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 applica- tion 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 wheth shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or .. mplo \•-• Signed • ltjet SPECTOR) BY In consideration of the issuance to me of this permit I agree t rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, ments or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done either, myself, my agps, servant or employee. • BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of ---'"' Building Architect PERMIT Contractor or Builder ? u- i T t Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA B1. N° 4975 Work to be performed under this Permit DATE i' ' t 19 Contractor's License No. Subdi- vision Address of j` / Value of Ij Amount of , Building • '' i : I►- w . 1 "' Protect $ I Permit $ r' 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed: ' 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 ao• cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. BY AUTHORITY ♦O DOT Permit No Amount of Permit $ 2 • 00 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT. APPLICATION FOR ELECTRICAL PERMIT Date September...11. 1967 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 AddressF.1.1.r.r. 97t11. St.. No Street Registered Architect and/or Engineer Employing Electrician's Name../3r.oth.ers...E1ec.tric 13339 NA, .. 7th Ave R Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No.3 60 N....E.. 97th Street Street State work to be performed and purpose of building (By Floors) wire 3 hp a/c/ New Building Remodeling Addition Repairs No. of Stories Overhead Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation—Conduit Tubing B.X.L Metal Moulding 55. (Signed) 63 (Signed) Elect 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 PermanqhSuppIcznent, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emm6yed by him in thc work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, licensed by Miami Shores Village. Master Electrician. are 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 CHECK ENT. SW. DIST. CAB. SERVICE TEVP. SERVICE PERM. MOTORS O. HP MOTORS 1.5 HP NEON TRANS. RA010 TOTAL CONTR. LIST 3 hp air conditi oner $2.00 CHECK Permit No Amount of Permit $ 2 • 00 STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT. APPLICATION FOR ELECTRICAL PERMIT Date September...11. 1967 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 AddressF.1.1.r.r. 97t11. St.. No Street Registered Architect and/or Engineer Employing Electrician's Name../3r.oth.ers...E1ec.tric 13339 NA, .. 7th Ave R Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No.3 60 N....E.. 97th Street Street State work to be performed and purpose of building (By Floors) wire 3 hp a/c/ New Building Remodeling Addition Repairs No. of Stories Overhead Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation—Conduit Tubing B.X.L Metal Moulding 55. (Signed) 63 (Signed) Elect 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 PermanqhSuppIcznent, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emm6yed by him in thc work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, licensed by Miami Shores Village. Master Electrician. are 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. Al/tiD JL Permit No Amount of Permit $ iy STATE OF FLORIDA, 1 COUNTY OF DADE. I E8. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ://;; Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during g progress of work , , 0 ' „C• / Ownei s Name and Address ........t •�� No �...... �%.,s....Street �' Registered Architect and /or Engineer e y; Em to in Electrician's Name '� ^, 2 " "� �"' : \ -, '3 � ' P Y g ,.... „. � ,,..;a:..s No. Street. •., 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 (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. (Signed) 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. Master Electrician. 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. ACE H ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST : '- • ' 0 �,"eS.�.:'� ( 4/4G CHECK Al/tiD JL Permit No Amount of Permit $ iy STATE OF FLORIDA, 1 COUNTY OF DADE. I E8. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ://;; Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during g progress of work , , 0 ' „C• / Ownei s Name and Address ........t •�� No �...... �%.,s....Street �' Registered Architect and /or Engineer e y; Em to in Electrician's Name '� ^, 2 " "� �"' : \ -, '3 � ' P Y g ,.... „. � ,,..;a:..s No. Street. •., 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 (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. (Signed) 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. Master Electrician. Permit No Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 88. /yV My Commission Expires MIAMI SHORES VILLAGE !,20 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address FACT No 360 N.E. 97 S Street / Registered Architect and /or Engineer Employing Electrician's Name SUN STATE ELECTRIC , INC No 9709 No� 27 . treet 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 Mzin Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) '.-<.l s. ..��� ti 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 sub-contractors, on work to be performed under s permit, as are licensed by Miami Shores Village. (` C Notary Public, State of Florida Electrical Inspector. r 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. 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. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS M OTORS 0.1 HP 1.8 HP N EON TRANS. RADIO TOTAL 0 CONTR. y HP furnace motor CHECK Permit No Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. 88. /yV My Commission Expires MIAMI SHORES VILLAGE !,20 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address FACT No 360 N.E. 97 S Street / Registered Architect and /or Engineer Employing Electrician's Name SUN STATE ELECTRIC , INC No 9709 No� 27 . treet 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 Mzin Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) '.-<.l s. ..��� ti 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 sub-contractors, on work to be performed under s permit, as are licensed by Miami Shores Village. (` C Notary Public, State of Florida Electrical Inspector. r 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. 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.