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685 NE 97 St (2)Permit No f Ans o-- Owner's Name and Address Registered Architect and /or Engineer / Emplo i�i g I rici��s NNam s1TEt `LtSea and /Legal'De Lot �/ 9 P� Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, COUNTY OP DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 4 / /f' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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. No �. / / . / Block ! i2 (Signed) (Signed) appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says of the above described construction, and he has carefully read the foregoing applicati therein by him stated are true. No 5,c Street.. ,.>, 2 .. .... Street...$ Subdivision./ /1.. Street ... 6 92 $7 State work to be performed and purpose of building (By Floors) FAC .€ 1O eseW7Xte. New Building Remodeling Addition Repairs k No. of Stories Se rv i ce Overhead Site Feeders Conduit Main Sw .. Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing....... B.X.L .Metal Moulding eisthe 'OFFICIAL NOTARY SEAL' PAMELA A. C/IN.tiq NOTARY PUBLIC STA T. fly Commission Exp. 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 u tL er this permit, as are licensed ,by Miami Shores Village. ‘911' Ian Master Electrician. Before me, the undersigned authority, a notary public. duly au anted to administer rs oaths and take acknowledgments, peonally that he gn the same, and that all facia 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. "WITCH OUTLETS LIONT OUTLETS PLUO RtCc'P'T's FIXTURES NO LAMPS RUNIC. OUTLET IRON OUTLET RANG[ OUTLET RANO' CONN. WATER NEATER W. MEAT. CONN. "MACS MEATSR "TRIP NEATEN ^ TOTAL CONTR. LUST CHECK ENT. "W. GIST. CAS. Scnvoca TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•S HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No f Ans o-- Owner's Name and Address Registered Architect and /or Engineer / Emplo i�i g I rici��s NNam s1TEt `LtSea and /Legal'De Lot �/ 9 P� Street and Number where work is to be performed —No Amount of Permit $ STATE OF FLORIDA, COUNTY OP DADE. I ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date 4 / /f' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o1 other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv: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. No �. / / . / Block ! i2 (Signed) (Signed) appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says of the above described construction, and he has carefully read the foregoing applicati therein by him stated are true. No 5,c Street.. ,.>, 2 .. .... Street...$ Subdivision./ /1.. Street ... 6 92 $7 State work to be performed and purpose of building (By Floors) FAC .€ 1O eseW7Xte. New Building Remodeling Addition Repairs k No. of Stories Se rv i ce Overhead Site Feeders Conduit Main Sw .. Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing....... B.X.L .Metal Moulding eisthe 'OFFICIAL NOTARY SEAL' PAMELA A. C/IN.tiq NOTARY PUBLIC STA T. fly Commission Exp. 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 u tL er this permit, as are licensed ,by Miami Shores Village. ‘911' Ian Master Electrician. Before me, the undersigned authority, a notary public. duly au anted to administer rs oaths and take acknowledgments, peonally that he gn the same, and that all facia 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.