164 NE 100 St (8)Permit No
0171/9
Application is hereby made for the approval of the detailed statement of the plane 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. �2
Owner's Name and Address `JCJ+Gt1 (/ No k' ....i kr Street "A U A SV ∎Vc-es
Registered Architect and /or Engine r
� Em looy'ng El Legal va ' me.. Q `� s!'QPl< .`:Q�. (:4v.. IQ
non am I5es rrption Lot W '} .
Street and Number where work is to be performed —No
State work to be performed and purpose of building (
New Building Remodeling V
I ��}
Service Overhead Site Feeders O Conduit 1 1/7 -- Main Sw...1.�q h `` Amps Main Fuses 6 'b
Underground
Amount of Permit $
STATE OF FLORIDA,
COUNTY OP DADE )
se.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date // ° W p el
s`5Z -5 73 7
MIAMI SHORES VILLAGE
Block
l(n4....►.1...�. loos
y Floors) OR•- v`'•Q...
Type of Installation — Conduit L Tubing B.X.L .Metal Moulding
164
(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 sub•contractore, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to
appeared 1 ^ Z S' S U
i`.
C
No.� 1 W a Street
Subdivision... ta..!Y1.1.
Street m S
.r- 5e-cv
May
/b/
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
therein 11EAr1T E'YtfL1er,IA1t OF FLORIDA AT LARGE
MY COMMISSION EXPIRES OCT. 21. 1989
QQrN THROUGH MUROSKI- ASHTON INC
kb I�p
Addition Repairs No. of Stories
Muter Electrician.
re-5.. .YArn°
Amps
administer oaths and take acknowledgments, personally
ac.V
did sign the 401 Me aiid'•that_ all. facts
My Commission Expires ' U 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 noti for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETB
PLUO
RECE•P'T•s
FIXTURES
No. L
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIFT
..
v
-- Vi
/_
�P
)13-1.-
1
�
_� f T 'y}�
^ K �
CHECK
i7---
i0. f�
'/
,JC L
/
/�/N1
( RA ' DIIO
ENT.
SW.
D18T.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 MP
NEON
TRANS.
TOTAL
CONTR.
LIST
CHECK
/���
( (90
_ ..
Permit No
0171/9
Application is hereby made for the approval of the detailed statement of the plane 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. �2
Owner's Name and Address `JCJ+Gt1 (/ No k' ....i kr Street "A U A SV ∎Vc-es
Registered Architect and /or Engine r
� Em looy'ng El Legal va ' me.. Q `� s!'QPl< .`:Q�. (:4v.. IQ
non am I5es rrption Lot W '} .
Street and Number where work is to be performed —No
State work to be performed and purpose of building (
New Building Remodeling V
I ��}
Service Overhead Site Feeders O Conduit 1 1/7 -- Main Sw...1.�q h `` Amps Main Fuses 6 'b
Underground
Amount of Permit $
STATE OF FLORIDA,
COUNTY OP DADE )
se.
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date // ° W p el
s`5Z -5 73 7
MIAMI SHORES VILLAGE
Block
l(n4....►.1...�. loos
y Floors) OR•- v`'•Q...
Type of Installation — Conduit L Tubing B.X.L .Metal Moulding
164
(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 sub•contractore, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
Before me, the undersigned authority, a notary public, duly authorized to
appeared 1 ^ Z S' S U
i`.
C
No.� 1 W a Street
Subdivision... ta..!Y1.1.
Street m S
.r- 5e-cv
May
/b/
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
therein 11EAr1T E'YtfL1er,IA1t OF FLORIDA AT LARGE
MY COMMISSION EXPIRES OCT. 21. 1989
QQrN THROUGH MUROSKI- ASHTON INC
kb I�p
Addition Repairs No. of Stories
Muter Electrician.
re-5.. .YArn°
Amps
administer oaths and take acknowledgments, personally
ac.V
did sign the 401 Me aiid'•that_ all. facts
My Commission Expires ' U 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 noti for inspection, or faulty
materials and /or workmanship.
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
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit $ / 3:.3
STATE OF FLORIDA, 1
COUNTY OF DADE. !l
01
SS.
- d :: No 6 Street... /
6
;
lock Subdivision
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Overhead
Service Underground Size Feeders ,,,..Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
y
B
(Signed)
The undersigned applicant for this building permit does hereby certify that he understan - 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.
(Signed) ( c
4?
Street
Street
1
Wi 4 7 1
.;)
Electrical Inspector.
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
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
Oy
M OTORS
1.3 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
i !
CHECK
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
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Amount of Permit $ / 3:.3
STATE OF FLORIDA, 1
COUNTY OF DADE. !l
01
SS.
- d :: No 6 Street... /
6
;
lock Subdivision
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Overhead
Service Underground Size Feeders ,,,..Conduit Main Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
y
B
(Signed)
The undersigned applicant for this building permit does hereby certify that he understan - 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.
(Signed) ( c
4?
Street
Street
1
Wi 4 7 1
.;)
Electrical Inspector.
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 ❑ ./'rte
ELECTRICAL I- PERMIT 'N? 13326
PLUMBING P1
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Deg on
Address of
Building
Lot
f
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.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Value of Amt. of
Pro ect
�.; _ j $ Permit $
Signed•
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statekvi 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.
Subdi-
vision
4
BY
DATE.
Contractor's
License No
w 195
/ y
BUILDING
ELECTRICAL
PLUMBING
1'
y Work to be performed under this Permit
a! - ,
Owner of . 1°' i. �,,
Building 4 Ar ,t`,_ { 4 ..
Architect . {—
.r
Contractor i
or..,litttl1 .f' .. !
Legal Lot
d escription
MIAMI SHORES VILLAGE, FLORIDA
DATE ' 7`
PERMIT N? 1875
Bl.
Subdi-
vision
ddress of r s f Value of Amt. of
uildin g .'y,.f Project Permit
r
19 4/
Contractor's ✓ �.`
License 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
pplication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performe in compliance
ith any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. his Permit may
e revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A*uurther condition
on which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorattgh knowledge of
- e ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings, or in the statements, _ 'ficati is and
at he assumes responsibility for work done by his agents, servants or employees. -w^ " ^" " """ "' "" '" f
Signed- /
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
illage. In accepting this permit I assume responsibility for all wqrk done by either myself, my agent, servant or employee.
i
` _ 1 ( ?
'CONTRACTOR OR BUILDER BY
• d
AUTHORIT
THIS CE
by
for
(44 0 -
IFIES THAT the wiring and apparatus installed at o i' / `
I� r
MIAMI SHORES VILLAGE PERMIT
No. ,/g7
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
3// ° r
Address
owner, and occupied as
1
has been inspectgd and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits
Range watts. Water Heater watts
Power: Connected load H. P. Space Heaters watts
Other Apparatus ' 1'
ELECT ICAL INSPECTOR.
CONTR.
Usr
CFECK
CH
ETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPAC STRIP
HEAT EATER
TOTAL
- --
ti
1a
/
ENT.
SW .
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
C T •
/
J
/
ECK
Permit
No.
State work to
Ne w
and all provisions of the Laws of the
of Miami Shores Village shall be c
building during progress of work.
Owner's Name and Address
ption Lot
re work is to be performed —No
/Service Underground Size Feeders Conduit__
Type of Installation— Conduit Tubing
Amount of Permit $ + "'"" ,
appeared
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
p— LICATION FOR ELECTRICAL PERMIT
Date__ f
Application is hereby made for the appro /mil of the detailed statement of the plans and specifications herewith submittQ
structure herein described. This applicatie / is made in compliance and conformity with the Building Ordinance of Mia
le of Florida, all ordinances of Miami Shores Village and all rules and regulatio
lied with, whether herein specified or not. A copy of approved plans and s
r
/( (4 4/ 2 r
ineet -- — — _12 - s41"
Registered Architect and /or
Employing Electrician's
Location and Legal
Street and Numbe
rformed and purpose of building (By Floors) —___—______ _________ ___________
Remodeling Addition Repairs
Block d 6 Subdivisi
4 /-11:":1-t Street r&'
Main Sw 1 e) Amps. __ —_____ I Fuses
B.X.L Metal Moulding
Street__ ______________ J --
No. of Stories
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths ari
take
r the building or other
Shores Village, Florida,
f the Building Division
ations must be kept at
1'
- ---- ------- -- - - -- L
Amps.
ye. trical Inspector. —
The undersigned applicant for this building permit does hereby certif at he understands and accepts his o ations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, piled General Laws of Florida Per nt Supplement, and has com-
plied with the provisions thereof, and will require similar complianc from all contractors or sub - contractors enoyed 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 suapublic notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be perfoied under this permit, as are
licensed by Miami Shores Village. p '/
1,
(Signed) . z
Master Electrican. '
acknowledgments, personally
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, that he has carefully read the foregoing application, and that hedid sign the same, and that all facts
therein by him stated are true.
Notary Pullic. 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.
3
4
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
PERMIT
„ r
No. - =
THIS CERTIFIES THAT the wiring and apparatus installed at
,, %.
-
by ' ' > ; Address
for - owner, and occupied as °
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits
Range watts. Water Heater watts
Power: Connected load H. P. Space Heaters watts
Other Apparatus
ELECTRICAL INSPECTOR.
JOB: 1/
BUILDING
ELECTRICAL :
PLUMBING
. .
. .
. .
. .
. .
. .
The following is ready for Inspection:
Inspector's Report:
REQUESTED : WILL BE READY
•
•
•
•
WORK
- LONE BY:
41.
f
JOB:
BUILDING
ELECTRICAL :
PLUMBING
•
Inspector's Report:
•
•
•
•
AD: P; L/. 1
: WORK
: DONE BY:
• REQUESTED
The following is ready for Inspection:
•
•
•
' • •
•
•
•
• �� / ^(y • •
�' i •
• •
• •
• •
• •
•
: WILL BE READY
vir
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 submitt.cl 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
6_ -_ / ____. Street 6 L 3 f
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Block
No 4– / '�®jy� ^l, /1
Subdivision____ __
r Street J s v _____
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building — Remodeling Addition Repairs
No. of Stories
Service Overhead Size
Underground
Feeders / Conduit
D (' Main Sw
/ } Amps. Main Fuses r/4 Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
My Commission Expires
_(Signed)
(Signed
Notary Public, State of Florida
Ele 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 com-
plied with the provisions thereof, and will require similar compliance' 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA, 1
COUNTY OF DADE.
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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
NTR.
CO LIST
i ®
/ ®
/
Ij Q 7
/ /1 -51 / 2
-
/
/
/
p
-
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
L
/
/
CHECK
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 submitt.cl 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
6_ -_ / ____. Street 6 L 3 f
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Block
No 4– / '�®jy� ^l, /1
Subdivision____ __
r Street J s v _____
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building — Remodeling Addition Repairs
No. of Stories
Service Overhead Size
Underground
Feeders / Conduit
D (' Main Sw
/ } Amps. Main Fuses r/4 Amps.
Type of Installation— Conduit Tubing B.X.L. Metal Moulding
Amount of Permit $_
My Commission Expires
_(Signed)
(Signed
Notary Public, State of Florida
Ele 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 com-
plied with the provisions thereof, and will require similar compliance' 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA, 1
COUNTY OF DADE.
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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.