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ELECTRICAL 52/53Permit No is ..a..3.., „. Owner's Name and Address ( Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No New Building Remodeling Addition Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I 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. , No Block Subdivision 124 State work to be performed and purpose of building (By Floors) _ Service Overhead Size Feeders Conduit Main w Aa6 Underground ps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) 11—T7 No./..3 3. W Street Repairs No. of Stories Street f v .- r /" 3 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. 9 f' 11 p SS. Before me, the undersigned authoritt 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. 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 d /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'TS FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST • • CHECK Cs r a ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 1 ,i _-04 f _, o .v 1 • Permit No is ..a..3.., „. Owner's Name and Address ( Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be performed —No New Building Remodeling Addition Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I 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. , No Block Subdivision 124 State work to be performed and purpose of building (By Floors) _ Service Overhead Size Feeders Conduit Main w Aa6 Underground ps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) 11—T7 No./..3 3. W Street Repairs No. of Stories Street f v .- r /" 3 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. 9 f' 11 p SS. Before me, the undersigned authoritt 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. 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 d /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Address of Building f MIAMI SHORES VILLAGE, FLORIDA e'' PERMIT N° 15332 ❑ Work to be performed under this Permit Legal Lot II Bi. Description J Subdi- vision Value of Project $ DATE i { , . ; . • 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 • , t`} ,e..�. .: �... BY i t" J + 1--�. NSPECTOR 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. r -/ `/ /C CONTRACTOR OR BUILDER BY AUTHORITY Permit No MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT /:*1 Application is hereby ma 8e 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 Mi 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 l� / ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) N • • Employing Electrician's Name a 9 4 � ' No I Date Location and Legal Description Lot Block Subdivision "® 7.,%4Street 4 r°z l�d e.kzye New Building Remodeling Addition Repairs No. of Stories Street Street ' o o B per s Servi Overhead Size Feeders if f Conduit / / "Main Sw..( Amps Main Fuses Amps Type of Installation —Condom Tubin B.X.L Metal Mould Amount of Permit $ > ... (S' ned) L Electrical Ins,ecto The undersigned applicant for this building permit does hereby certify that he and rstands and accepts his obligations as an emplo . r of labor under the Florida Workmen's Compensation Act, being Section 5966, iled eneral Laws of Florida Permanent Sup • , and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 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 n. ice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. JI 66. (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 PLUO 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 TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / / CHECK Me' �7 / Ci5 /to Permit No MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT /:*1 Application is hereby ma 8e 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 Mi 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 l� / ELECTRICAL INSPECTION DEPARTMENT Registered Architect and /or Engineer Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) N • • Employing Electrician's Name a 9 4 � ' No I Date Location and Legal Description Lot Block Subdivision "® 7.,%4Street 4 r°z l�d e.kzye New Building Remodeling Addition Repairs No. of Stories Street Street ' o o B per s Servi Overhead Size Feeders if f Conduit / / "Main Sw..( Amps Main Fuses Amps Type of Installation —Condom Tubin B.X.L Metal Mould Amount of Permit $ > ... (S' ned) L Electrical Ins,ecto The undersigned applicant for this building permit does hereby certify that he and rstands and accepts his obligations as an emplo . r of labor under the Florida Workmen's Compensation Act, being Section 5966, iled eneral Laws of Florida Permanent Sup • , and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 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 n. ice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. JI 66. (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. • ELECtRICAL PLUG Owner of Building ; --4- PERMIT N° 10638 Architect Contractor or Builder r ` Legal Lot Bl. Description. Address of Building This per • 't 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 draw gs or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f ' BY INSPECTOR • - In consideration of the issuance to me of this permit I agr perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawi _ . tatements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work do by either, myself, my agent, servant or employee. • CONTRACTOR biz 'BUILDER 195__/J Contractor's License No. Work to be performed under this Permit Signed Subdi. vision Value of Project $ Amt. of Permit $ AUTHORITY SHORES VILLAGE GE FL t 1 LO PERMIT N? 10306. BUILDING MECTRICAL PLUMBING Architect Contractor or Builder Work a performed under this Permit Owner of jj fiti .. o r.% .- r. Building L� r -ri % Legal Lot �..! qtr } ' a l Bl Description �. Address of 1 2 Building ` ,.� tol { . CCONTRACfR OR BUILDER tr Value of Project $ DA Subdi- ° " vision cam. Lic.ot+. No 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 res bility r a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or 4rawings in ji a stateme4t specifications an that he assumes responsibility for work done by agents, servants or employees. , / \ r f ,,�, 1 Signed. » .. Amt. of Permit $ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliJnce "(Nth 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. BY AUTHORITY BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT N? 13990 1 Work to be performed under this Permit A 1 E I A)Fic3iiii rvo Architect Contractor j i or Builder , L eL Legal Lot Description Address of Building In consideration of the issuance to me of this pertaining thereto and in strict conformity with the plan3; In accepting this permit I assume responsibility for all wor CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA HZ /4o TNSl Signed rmit I agree to perfo rawings, statement e by either, Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building herefor in strict compliance with all ordinances pertaining thereto and wit the unde drawings, statements or specifications that may have been submitted to an time if the work is not done in compliance with such ordinances or if the p granted is the understanding that the contractor or builder named above pertaining to the work covered hereby whether shown on the plans or dra done by his agents, servants or employees. BY DATE Contractor's License No Amt. of Permit • ( AUTHOR/TY If s 07: 195 `► approv ns are umes fi or to install the equipment or device described in the t the work will be performed in compliance with any plans, municipal authorities. This Permit may be revoked at any uthorizat'• • . •er condition upon which m is for a t . • g .n. • • egulryas atements or spec ica ions and that he ass •• > responsibili fo krk the work covered hereunder in compliance w ordinances an • re lations or specifications submitted to the proper authorities of Miami Shores /Village. yself, my agent, servant or employee. ♦ Permit Owner's Name and Address.... 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. ea , , at. // Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. to YOS State work to be performed and purpose of building (By Floors) New Building Y Remodeling Addition Service Overhead Feeders Conduit.... - ...Main Sw No % l Street 141 q 7 Subdivision !J ! / 2- Street../ E,...f 4 v '.f free t - /D (Signed) ly'2 ,C .7,4ace-7`.-SL Street../ o Date .....1 C ( /'/ . .l.. Ar/ ° j7. e e Repairs No. of Stories Amps / o u Main Fuses / O Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit ;...L ` (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 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. r . c 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 C LIST R. ) 3 / U / 9� 0 /1 '7 ')� __ SERVICE 19 ) , r'� J O / J ,{ I ' , 1 --",„t . CHECK ENT. SW. DIST. CAB. TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST I Q / • Cir•LN ` I CHECK / . .:/ '' i .. /..:._._.. ♦ Permit Owner's Name and Address.... 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. ea , , at. // Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No STATE OF FLORIDA, 1 COUNTY OF DADE. I SS. to YOS State work to be performed and purpose of building (By Floors) New Building Y Remodeling Addition Service Overhead Feeders Conduit.... - ...Main Sw No % l Street 141 q 7 Subdivision !J ! / 2- Street../ E,...f 4 v '.f free t - /D (Signed) ly'2 ,C .7,4ace-7`.-SL Street../ o Date .....1 C ( /'/ . .l.. Ar/ ° j7. e e Repairs No. of Stories Amps / o u Main Fuses / O Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit ;...L ` (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 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. r . c 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. New Building -- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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 No Street Registered Architect and /or Engineer Employing Electrician's Name 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) 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 Amount of Permit $ (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. STATE OF FLORIDA, } COUNTY OF DADE ss. (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 _. CHECK . _ .. a ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE KR MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK New Building -- MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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 No Street Registered Architect and /or Engineer Employing Electrician's Name 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) 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 Amount of Permit $ (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. STATE OF FLORIDA, } COUNTY OF DADE ss. (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.