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526 NE 97 StPermit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date r r" , - 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 // pp� / Employing Electrician's Name kL /Ti 6/e• C.s� ��� No / 2- 3 Street MIAMI SHORES VILLAGE No 5 7 2 4. 4 e Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � '' �- c� 2.. Street ....c�i � 2 7 �� f ' State work to be performed and purpose of building (By Floors) ( .n.pii A." l' 0 N`+ c S'44. uwL ALL. 1 a cry I+■k 1 0 New Building OLD Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Underground Type of Installation — Conduit Conduit 7 ZrMain Sw.... Amps .Main Fuses Amps Tubing .€7 B.X.L .Metal Moulding Amount of Permit $ v (Signed) (Signed) taectn Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce • s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o ` 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 perforn under this permit, as are licensed by Miami Shores Village. 4 2 Electrician. STATE OF FLORIDA, `t COUNTY OF DADE. I 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 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. AGE W ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -S HP N EON TRANS. , RADIO TOTAL CONTR. LIST +q- .,5 3 '1O pv CHECK Permit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date r r" , - 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 // pp� / Employing Electrician's Name kL /Ti 6/e• C.s� ��� No / 2- 3 Street MIAMI SHORES VILLAGE No 5 7 2 4. 4 e Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � '' �- c� 2.. Street ....c�i � 2 7 �� f ' State work to be performed and purpose of building (By Floors) ( .n.pii A." l' 0 N`+ c S'44. uwL ALL. 1 a cry I+■k 1 0 New Building OLD Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Underground Type of Installation — Conduit Conduit 7 ZrMain Sw.... Amps .Main Fuses Amps Tubing .€7 B.X.L .Metal Moulding Amount of Permit $ v (Signed) (Signed) taectn Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce • s his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws o ` 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 perforn under this permit, as are licensed by Miami Shores Village. 4 2 Electrician. STATE OF FLORIDA, `t COUNTY OF DADE. I 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 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. --- 4 . ' _ 7 f ' • z / - • / s 7 // Permit Nov // 7 cq Amount of Permit $ ` ` STATE OF FLORIDA, COUNTY OP DADS. 1l as. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ( Signed ) .. ..v(.(�/l. ^ ! Date 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 regulation 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 �R S, ;4,1. C US IM44N Registered Architect and /or Engineer / Employing, Elecctri iaA's �gme G��'d� / S G�LT' IC Cc#1JS 0 G J N � l` 4 ! � 0 0 Street r 00 /) L o u o on nn and Lc l�eacr p ©on Lot U/ f 7g Block Subd vision...... Street and Number where work is to be performed —No - 5 -' �... /i/j 9 7i�� No 7 '7 5 Street State work to be performed and purpose of building (By Floors) New Building Remodeling 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 rid accepts his obligations u 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) 9 ; -7 7 1/7/al Street J Muter Electrician. cow IgC7g 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 of the above described construction, and he has carefully read the foregoing application, and th , he did sign the same, and that all facts therein by hir i l icforf l fl3 Lt 7e S171TE O l:'LORIDA NY CO3•" " EXP. JA 199 BOi1Dr.D Yr!RU GENERAL Ii'S, UND. 11L-! My Commission Expires ' Notary Public, State of NOTE: A re.inspection fee of 31.00 will be made when such re-inspection is made necessary by improper notfct for irt[s cp ion, or faulty materials and /or workmanship. SWITCH OU LIGHT OUTLETS PLUG RECE'►'T'e FIXTURES No LAMPS Rustics. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. NEAT. CONN. SPACE NEATER STRIP H C..VPVAL fi/C :; foes VW TOTAL CONTR. LIST / ev,eGr CHECK C T, DT ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.15 MP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit Nov // 7 cq Amount of Permit $ ` ` STATE OF FLORIDA, COUNTY OP DADS. 1l as. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ( Signed ) .. ..v(.(�/l. ^ ! Date 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 regulation 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 �R S, ;4,1. C US IM44N Registered Architect and /or Engineer / Employing, Elecctri iaA's �gme G��'d� / S G�LT' IC Cc#1JS 0 G J N � l` 4 ! � 0 0 Street r 00 /) L o u o on nn and Lc l�eacr p ©on Lot U/ f 7g Block Subd vision...... Street and Number where work is to be performed —No - 5 -' �... /i/j 9 7i�� No 7 '7 5 Street State work to be performed and purpose of building (By Floors) New Building Remodeling 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 rid accepts his obligations u 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) 9 ; -7 7 1/7/al Street J Muter Electrician. cow IgC7g 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 of the above described construction, and he has carefully read the foregoing application, and th , he did sign the same, and that all facts therein by hir i l icforf l fl3 Lt 7e S171TE O l:'LORIDA NY CO3•" " EXP. JA 199 BOi1Dr.D Yr!RU GENERAL Ii'S, UND. 11L-! My Commission Expires ' Notary Public, State of NOTE: A re.inspection fee of 31.00 will be made when such re-inspection is made necessary by improper notfct for irt[s cp ion, 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 /4.k. ''S1 C 1 . 4, / .. , : No t G Street_• r 7 7 s ��.... Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Descriptio (>�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 Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ss. �1 =. ' 3..iaA c No ..1 a/ -4 L) Street .VJ r 4 Q' t Service Overhe Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such materials and /or workmanship. (Signed) The undersigned applicant for this building permit does hereby certify that he ullIerstands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compile 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. • (Signed r r ic c Electrical Inspector. ccepts his obligftions as an employer of of Florida 6..efmanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed ender this permit, as are do ster 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. Notary Public, State of Florida re-inspection is made necessary by improper notice for inspection, or faulty SWITCH OUTLETS LIGHT OUTLETS 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 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 /4.k. ''S1 C 1 . 4, / .. , : No t G Street_• r 7 7 s ��.... Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Descriptio (>�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 Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ss. �1 =. ' 3..iaA c No ..1 a/ -4 L) Street .VJ r 4 Q' t Service Overhe Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such materials and /or workmanship. (Signed) The undersigned applicant for this building permit does hereby certify that he ullIerstands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compile 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. • (Signed r r ic c Electrical Inspector. ccepts his obligftions as an employer of of Florida 6..efmanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed ender this permit, as are do ster 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. Notary Public, State of Florida re-inspection is made necessary by improper notice for inspection, or faulty BUILDING _p "ELECTRICAL PLUMBING Owner of Building Z PERMIT N° 10288 Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, 'FLQRIDA DATE Contractor's Architect Contractor or Builder „ � . ,, „ Subdi- Legal Lot II BI. vision Description • - License No Address of ‘,A,. Value of Amt. of 1 7 Project $ 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 appli herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked sit v time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition u selkicklhis pert granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the on , and pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or spedficstians and that he assumes done by his agents, servants or employees. ,. Signed —J' ' _;1: "" BY 471,..7. ; - nelFPCroe In consideration of the issuance to me of this permit I agr perform the work covered hereunder in compliance with all a and •ertaining thereto and in strict conformity with the plans, drawin tements or specifications submitted to the proper authorities of Miafli Stores V accepting this permit I assume responsibility for all work done y either, myself, my agent, servant or employee. , AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLOP' 12 PERMIT N° 9882 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description. Address of Building CONTRACTOR OR BUILDER BL Signed. In consideration of the issuance to me of this permit I agree tir p pertaining thereto and in strict conformity with the plans, drawings, sta In accepting this permit I assume responsibility for all work done by 4- _,..4. , I i , i — ot Subdi- vision Value of Project $ 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 drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 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 granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regul pertaining to the work covered hereby whether shown on the plans or • • gs or in the statements or specifications and that he assumes resOnalrility for work done by his agents, servants or employees. BY, I SPECTOR orm the work covered hereunder in compliance with all antes and regulations ents or specifications submitted to the proper authoritijfit ofjMiami Shores V iflag er, myself, my agent, servant or employee. BY DA Contructmis License No Amt. of Permit $ AUTHORITY 4 Permit No. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 ___G No._____' Registered Architect and /or Engineer ------ _------- - - - - -- -----------------_------_-- ------ -------------- -- _____ —_ -� _ -- Employing Electrician's Name _ `L 1 / �r� °�_L tc' No.__ -1 ‘-/ �� ` c y - - �'t- Street — — ________________ - Location and Legal Description Lot___ _______ ______ ___— _ —___— ________________Block Street and Number where work is to be performed— No.___ 1`r_`- t Street State work to be performed and purpose of building (By Floors) New Building per-' Remodeling Addition Repairs Service werheadt Size Feeders_____ ____ Conduit._ __ Main Sw._ f t' — Amps. Type of Installation -- Conduit______ _______ Tubing $ L Metat•= Moulding L 654 Amount of Permit $ The undersigned applicant for this bui under the Florida Workmen's Compensation ct, plied with the provisions thereof, and qu performed under this permit; and wir required by the Act. The under sig p rees licensed by Miami Shores Village. My Commission Expires STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly appeared _ to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. (Signed) d d , Street J t__ -• = �___L —___— Subdivision___________________ No. of Stories. Main Fuses_- -2_0__A____Amps. Electrical Inspector, e t does hereby certify that he understands and accepts his obligations as an employer of labor Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- similar compliance from all contractors or sub - contractors employed by him in the work to be o be posted for inspection on the site of the work such public notice or notices as are em$loy only such sub- contractors, on work to be performed under this permit, as are (Signed) ______.�'_�.� � _L.[�_ • - / Master Electrican. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the_ ________. foregoing application, and that he did sign the same, and that all facts 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 REECE' FIXTURES No.LAMPS REFRIO. OUTLET IRON OUTLET / - L RANGE OUTLET t L RANGE CONN. t // WATER HEATER ,. 1 J v 'r /y W. HEAT. CONN. � , V � SPACE HEATER 1 I L STRIP HEATER -- TOTAL C ONT R . 1L �J C/ 9,_ • / / . CHECK f � I'- l ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST I / CHECK i 40 b �J /IO C Permit No. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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 ___G No._____' Registered Architect and /or Engineer ------ _------- - - - - -- -----------------_------_-- ------ -------------- -- _____ —_ -� _ -- Employing Electrician's Name _ `L 1 / �r� °�_L tc' No.__ -1 ‘-/ �� ` c y - - �'t- Street — — ________________ - Location and Legal Description Lot___ _______ ______ ___— _ —___— ________________Block Street and Number where work is to be performed— No.___ 1`r_`- t Street State work to be performed and purpose of building (By Floors) New Building per-' Remodeling Addition Repairs Service werheadt Size Feeders_____ ____ Conduit._ __ Main Sw._ f t' — Amps. Type of Installation -- Conduit______ _______ Tubing $ L Metat•= Moulding L 654 Amount of Permit $ The undersigned applicant for this bui under the Florida Workmen's Compensation ct, plied with the provisions thereof, and qu performed under this permit; and wir required by the Act. The under sig p rees licensed by Miami Shores Village. My Commission Expires STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly appeared _ to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. (Signed) d d , Street J t__ -• = �___L —___— Subdivision___________________ No. of Stories. Main Fuses_- -2_0__A____Amps. Electrical Inspector, e t does hereby certify that he understands and accepts his obligations as an employer of labor Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- similar compliance from all contractors or sub - contractors employed by him in the work to be o be posted for inspection on the site of the work such public notice or notices as are em$loy only such sub- contractors, on work to be performed under this permit, as are (Signed) ______.�'_�.� � _L.[�_ • - / Master Electrican. authorized to administer oaths and take acknowledgments, personally deposes and says that he is the_ ________. foregoing application, and that he did sign the same, and that all facts 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.