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ELECTRICALDate Job Address I ( W. ` Tax Folio t ( 31- 01 • P) SO Legal Description /:Lessee / Tenant 1; SE V frIA N Master Permit I Owner's Address I) (_p) ratio Phone 761 - 1)r)9D Address 1 Dna PC)l! L h O f/ e /1Ci Qualifier,�CY�p� Q ) R / ) ( . ss # Phone (o L/— 77 70 State 01' // Municipal 0 Competency 11 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one):. BUILDING(ECTRIC PLUMBING MECHANICAL ROOPING PAVING PENCE SIGN WORK DESCRIPTIOP /L) /)L Q J l - C. ') a Square Ft. Estimated Cost(value) 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 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.._ Contracting Co. M OWN " 'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be ••.e in compliance with all applicable laws regulating construction a zoning. Furthermore, I aut • 'ze the above -named contractor to do the work stated. Signature of owner and /or Condo Preside Date: Notary as to Owner My Commission Expi APPROVED: :PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Y03/99 onded By Service In No. CC431261 inter +uw. fi'Mh' 1 2. Signature Date: a- of Cpn'tractor `o '�IC`ta`'t�.e 4 11de ,, • ,; • y EXPIRES: C� 9�11SSICN # CC 383081 4 - a , Ju 14, 1998 Aj . Bo e4 Ng btic Unden. ders iris lia 4 Notary as to Con ra for or My Commission Expires: * * * Builder ** FEES: PERMIT 5 /C' RADON C.C.F. NOTARY TOTAL DUE Fire Other Zoning Building Electrical Mechanical Plumbing Engineering I UILDING LECTRICAL LUMBING Work to be performed under this Permit iwner of f o wilding' r ti ./G.- � _- rchitect ontractbr 1 / , Ct. ( r Builder .egal Lot description MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 8513 Bl. Subdi- vision DATE �,- :, � / a' Contractor's License No. _ ddreSS of / j } r w. "� Value of Arnt of" uilding 1 / (. � f _i Project Permit `' This permit is granted to the contractor or udder named above to construct the building or to install the equipment or device described in the appli- =tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any laps, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any tilne 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and �ru1ations pertaining to the work covered hereby whether shown on the plans or drawintCS or in the stici ents or specifications and that he assumes respon- bility for work done by his agents, servants or employees. Signed: 1 f , ' . �t r'''' . Li i By INSPECTOR t� In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all o ces and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of iami Shores Village. 1 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. . - .. CONTRACTOR OR BUILDER BY AUTHORITY 194 CY 3 S SWITCH L LIGHT P PLUG F FIXTURES R REFRIG. I IRON R RANGE R RANGE W WATER W W. HEAT. S SPACE S STRIP T TOTAL C OLIST NTR. - -Tv / / � � cut. t t- -- 6 6 °S ` ` _ - - ENT. D DIST. S SERVICE S SERVICE M MOTORS M MOTORS N NEON R RADIO T TOTAL J CONTR. LIST / / • •■ CHECK ) -- / / -_," 0 / / 7 75t 36/s1 ew Building b Remodeling_ 2 -- V 7 /F . Permit STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. / 74 j am_ C � MIAMI SHORES VILLAGE Addition • ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI CDC Date ---_---- ...... .L Application is hereby made for the approval of the detailed statement o f 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. /t C 3 Li t.71 Street__ Owner's Name and Address ,�_ Registered Architect and /or Engineer ___________ ___ _____ ________ a _� .. , Employing Electrician's Name - --4 C__ S1 1L__- - 1: t-'._------ _--- ------ -- •--------- ____No r Street _f I I _ti Location and Legal Description Lot __ _ __ _______ Block_____:_____ Subdivision Street and Number where work is to be performed—No-1 ' , x Street __ S R State work to be performed and purpose of building (By Floors) Repairs No. of Stories — Service Overhead ✓ Underground A __ Size Feeders_ T Conduit__,— :.;___Main Sw. mps Main Fuses Type of Installation—Conduit .......... _______Tubing B.X.L. .___.______ Moulding__ f < _ 0 Amount of Permit $ t - - — - -- -- (Signed)- - - — �-f — --- 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. e -/ ) f (Signed)._ < r i' 1 i 1 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 rnaterials and /or workmanship. BUILDING ELECTRICAL PLUMBItIG Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA r , DATE ; ,31. K J Contractor's License No PERMIT N° 8237 Work to erformed under this Permit .� C:9) ' 9 Bl. �� 1 �' � Col Subdi- vision crt ermit is granted to the contractor or builder named above to c�truct the building Address Building This p g g t o cation herefor in strict compliance with all ordinances pertaining thereto and with the understandin plans, drawings, statements or specifications that may have been submitted to and ap at any time if the work is not done in compliance with such ordinances or if the plan permit is granted is the understanding that the contractor or builder named above as regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employees. Sign In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawings, In accepting this permit I assume responsibility for all work done b ; / CONTRACTOR OR BUILDER Value of Project BY �b. Amt. of Permit AUTHORITY - 1941_ -4 $ install the equipment or device describe the appli- at the work will be performed in compliance with any municipal authorities. This Permit may be revoked t authorization. A further condition upon which this ty for a thorough knowledge of the or. na . ces and ents pecifications and that he ass !. s respon- INSPECTOR perform the work covered hereunder in compliance with a13,.grdinances and g tigns" ) statements or specifications submitted to the proper authoriEt1ddss of Miami Shy �fll e. ither myself, my ag t, serva or employee. Permit No 57.2o 7 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. I(� • f f l Owner's Name and Address__ �� 4f._ _fr_s' _ ' t ' 1 No.- f . . t ._� _ - — — Street --- - Registered Architect and /or Engineer__ Employing Electrician's Name____a___t__i__! Location and Legal Description Lot j? No f .Z `-f- f: `- Subdivision,i ti v / ! ,__J , ...t:. j ' 1 Street and Number where work is to be performed— No.__L 1 _.__ -i ____/_,_ _, 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 p Underground ' - s Type of Installation— Conduit_ Tubing B.X.L.__ —___ Metal Moulding Amount of Permit $__ __ L! __ o __d Electrical Inspector. The undersigned applicant for this building permit does hereby certify that . e understands and acce � is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co .iled 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 this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. } Ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date - • _Block ff (Signed) __../ 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 CHECK ' .; ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No 57.2o 7 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. I(� • f f l Owner's Name and Address__ �� 4f._ _fr_s' _ ' t ' 1 No.- f . . t ._� _ - — — Street --- - Registered Architect and /or Engineer__ Employing Electrician's Name____a___t__i__! Location and Legal Description Lot j? No f .Z `-f- f: `- Subdivision,i ti v / ! ,__J , ...t:. j ' 1 Street and Number where work is to be performed— No.__L 1 _.__ -i ____/_,_ _, 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 p Underground ' - s Type of Installation— Conduit_ Tubing B.X.L.__ —___ Metal Moulding Amount of Permit $__ __ L! __ o __d Electrical Inspector. The undersigned applicant for this building permit does hereby certify that . e understands and acce � is obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co .iled 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 this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. } Ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date - • _Block ff (Signed) __../ 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. BUILDING ELECTRICAL PLUMBING Owner of Building _ . Architect Contractor or Builder - I MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 8937 Legal Lot Bl. Subdi- Description vision Work to be performed under this Permit DATE f, i 1940 JJ Contractor's License No. Address of Value of Arnt. of Building / ! 1 / 1 ; Project Permit This permit is granted to the contractor or builder named above to construct the building or tb install the equipment or device described in the appli- cation 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 staterotnts or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: % By / INSPECTOR lJ In consideration of the issuance to me of this permit I agree to perform the viork covered hereunder in compliance with all ordi¢ances 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. - 1 r ,./ / . 1 c • �. , f t.�.►.,, - '" �..,r. Cam` I CONTRACTOR OR BUILDER BY AUTHORITY 1 Permit No._ f_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, 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 specifie d or not. A copy of approved plans and specifications must be kept at building during progress of work. r . Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date__ - it cJ _kr ss. Owner's Name and Address_ .*Z4' _ Registered Architect and /or Engineer • Employing Electrician's Location and Legal Description Lot Street and Number where work is to be performed —No Block Subdivision /it No 1_i_ (p ___! Street__ __ 4 ' No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhe Siz Feeders Conduit ___Main Sw.__ Amps ___Main Fuses Amps U nder gr ound Type of Installation— Conduit_ Tubing — ___ _B.X.L.___.___ Metal Moulding (Signed) / lectrical Inspector. The undersigned applicant for this building permit does hereby certify that derstands and accepts his ob igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co . ed 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 p osted 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, as are licensed by Miami Shores Village. (Signed)_ L''S�/ v _ / Y :7,4 1e' M er Electrician. 0,4640 Vd ___Street- J,_ - _!C Street___ 9, Before me, the undersigned authority, a notary public, duly a uthorized 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 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. MOTOR EI.2ANS. 0.1 H MOTORS N ON RADIO TOTAL CONTR. LIST CHECK Permit No._ f_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, 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 specifie d or not. A copy of approved plans and specifications must be kept at building during progress of work. r . Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date__ - it cJ _kr ss. Owner's Name and Address_ .*Z4' _ Registered Architect and /or Engineer • Employing Electrician's Location and Legal Description Lot Street and Number where work is to be performed —No Block Subdivision /it No 1_i_ (p ___! Street__ __ 4 ' No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhe Siz Feeders Conduit ___Main Sw.__ Amps ___Main Fuses Amps U nder gr ound Type of Installation— Conduit_ Tubing — ___ _B.X.L.___.___ Metal Moulding (Signed) / lectrical Inspector. The undersigned applicant for this building permit does hereby certify that derstands and accepts his ob igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co . ed 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 p osted 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, as are licensed by Miami Shores Village. (Signed)_ L''S�/ v _ / Y :7,4 1e' M er Electrician. 0,4640 Vd ___Street- J,_ - _!C Street___ 9, Before me, the undersigned authority, a notary public, duly a uthorized 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder 0 gr. 1., PERMIT . Ciec`■)t)s)'l L '�.. /./ /IF 7-- sibility for work done by his agents, servants or employees. MIAMI SHORES VILLAGE, FLORIDA - DATE 4- 9 19_ Contractor's License o No. 7 I ? f nse No L—_ N° 6445 Work to be performed under this Permit Legal Lot Description Bl Building Address of . - , �r , Value of Amount of 2 ...- Project $— I Permit $ This permit is granted to the contractor or buil 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- ! Signed. l°1 — .r INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance th all ordinances art -regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au . •rities of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. • /I, i " I CONTRACTOR OR BUILDER BY All ROT `° °' Subdi- vision AUTHORITY / 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 HEALER STRIP HEATER TOTAL CL LIST ; 1 7 / CHECK ENT. SW. DIST. CAB. SERVICE TEI'P. SERVICE PERM. MOTORO 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CON , R. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT AF ALICATION FOR ELECTRICAL PERMIT Permit No Date..' 1 ' 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. / { 6 ,� / Owner's Name and Address 91/.6 ;X/ / ✓� . '.. o No / ) ,(1� 1 Street 8 t Registered Architect and /or Enginee Employing Electrician's Name -L'-L No Street Location and Legal Description Lot / / y Block Subdivision Street and Number where work is to be performed —No 11 ") A/ k / ' t Street State work to be performed and purpose of building (By Floors) / D^ New / Building Remodeling Addition X Repairs No. of Stories SS. Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing.. B.X.L .....................Metal Moulding 2 Amount of Permit $ (Signed) ctrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pnent 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. t w (Signed) "J Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I j 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, a,id 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.