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321 NE 100 St (12)Type Insp'n Permit N Name Address MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Reque Time L: 4_ 2 c2 3 C)A , C- /DOIN Co .any 4 . 3 1 pt 03 E For Inspector: ,,. Name & Date Approved TI —2—. Correction ❑ /3 /`1�',1-- ®3 Re- Insp'n Fee ❑ Phone # Type Insp'n Phone # Approved MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque 13 ��. .i. An.N. Date, S/Z) 0'1 Time 4' _ Permit o. Z 2 O ,- ( 1 . k/ Name 44±k Address _f ( D , Company For InspectorS/ Same & Date Correction ❑ s^) )7-4 V v Re- Insp'n Fee ❑ G' f/ P„G n eer -ems e - G� e_ ilijceit7 ro Yie )' ,' l'e › z ,B /it, i t- ate Time ., Type Insp'n Permit No. Name Address Company Phone # C V5 For Inspector <L 4, Approv Correctio Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request' Name & -Date e a l,/c i MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date, ,ZZ 03 Time Type Insp'n d j EjM:rt.t.N+tiJ Permit No. EL Ad ®2 l ‘! Name 7'( 0 Address Company Phone # Approved Correction Re- Insp'n Fee Ap 311 Ale jao,sf' 6 9'y L /-ka)/-a-eAA 3 ®,s L9' S a ( / �-- For Inspector: S a3 - Q3 Name & Date % ear: et ' sPe% J?mvto/, t e . dieDs>' ,.41'. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n �7 Permit No. 'E L Name��� Address �j Q Oo ct l \ ` Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu'Iding Inspection Requ Date l C= 2o(Xq l 5 la b Type Insp'n Permit No. t J 03 Name ^� `� Address �L I 1� t 60 3 -4— Company 1/\.(2_ Phone # 1 �� Inspection Date e 7'9 - 1 1 9 Approved Correction Re- Insp'n Fee ❑ ��'J�`,� Ymy MIAMI SHORES VILLAGE BUILDING DEPART ►4 ENT 305- 795 -2204 Building Inspection Req Date Type Insp'n � ' Permit No. C I 03- 3 Name La-3 • Address 312 WE ICO 3J- Company Phone # Inspection Date 1 Approved Lam' Correction ❑ t y S W' d Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n / 1 Q Permit No. �L 00a. Name ✓i / Address c 7 / L.5 Company �7 Phone # : a j f )� ' & ' / ?.d`M fr For Inspector:_ / .� Name Approved( Correction El Re- Insp'n Fee ❑ 7 7 �� © kigc7 z wa4.z 604, c 1 at2- t`TL./too- SPf ft) L y- Lv 1°.1 4- BUILDING ❑ ELECTRICAL PLUMBING O ROOFING Owner of L Building r:t� a•�.�L'�, Architect Contractor + or Builder j + . \.4 .x''4 • Leggy Lot ff BL Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15650 ❑ Work to be performed under this Permit 3 �-► lug. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ Signed IN3 ECTOR ( fh BY DATE 195Y— Co tractor'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 itt 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 sperfic ions and that he assumes responsibility for work done by his agents, servants or employees. BY s Vet 1.e'' $ In consideration of the issuance to me of this permit I agree to erform 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 agentt servant or employee. AUTHORITY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /56 Owner's Name and Address r' r 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. rro • No 6 Street Registered Architect and /or Engineer Employing Electrician's Name ',�: ..� 6. �' No Location and Legal Description Lot Street and Number where work is to be performed —No ss. My Commission Expires Block Subdivision (Signed) /i Street 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 Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled 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. Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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. and take acknowledgments, personally 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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST f / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No /56 Owner's Name and Address r' r 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. rro • No 6 Street Registered Architect and /or Engineer Employing Electrician's Name ',�: ..� 6. �' No Location and Legal Description Lot Street and Number where work is to be performed —No ss. My Commission Expires Block Subdivision (Signed) /i Street 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 Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled 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. Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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. and take acknowledgments, personally 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 Contractor 11 or Builder Legal Lot Description Desscription Id egter CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N9 5605 Architect Bl. (q vision Contractor's License No. Work to be performed under this Permit Address of / )7,8, �CJ ® Value t of Amt. Permit fy pill 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- 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 statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed • By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ]ldinances aid ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho of Miami o ge. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY UILDING LECTRICAL LUMBING )weer of - uilding i ontractor r Builder ( v' Work to be performed under this Permit t ' .ega1 Lot - I6. )escription MIAMI SHORES VILLAGE, FLORIDA DATE � 194.1 PERMIT N? 5486 rchitect Bl. Subdi- vision Contractor's License No /1 L address of Value of Amt. of r ; uilding ' 1 ` ,F- L`. t f Project Permit 'f i '' 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- ation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any .tans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t any time if the work is not done in compliance with such ordinances or if the plans 'authorization. A further condition upon which this ,ermit is granted is the understanding that the contractor or builder named above assume t�Q1lt9¢ orou g h knowledge of the ordinances and cgulations • pertaining to the work covered hereby whether shown on the plans or. ngs pr, iir a st m or. specifications and that he assumes respon- ibility for work done by his agents, servants or employees. /T �P'i` Signed • !' �� P " oR By In consideration of the issuance to me of this permit I agree to perform the wok hovered thereunder in compliance with all ordinances and regulations ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. • _ . L. trC. r i s , -.i.. 10"Vir • CONTRACTOR OR BUILDER / BY AUTHORITY UILDING LECTRICAL LUMBING )caner of uilding - ontractor Builder MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5605 Work to be performed under this Permi rchitect egal Lot .escription 1' '� 1 ddress of uilding 3 �' 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- :don herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- bility for work done by his agents, servants or employees. B / ■ DATE Value of Project Subdi- vision Contractor's License No Amt. of ( OS Permit ,( `w' 194.. Signed. By 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 -rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. t } CONTRACTOR OR BUILDER BY f AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description Lot / �• PERMIT N? 5486 Work to be performed under this Permit I • Owner of / Building ."" Address of , ... Value of I Amt of c Building #... !. / / . 1' 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- 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 chant -. thoti authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assume thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or. .� g r the eii , s or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. , t' Bl. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE / 1942_ ./ Signed. Subdi- vision BY AUTHORITY Contractor's License No Y ...1 . 440.171-`4; INSPECTOR By In consideration of the issuance to me of this permit I agree to perform the w in compliance willormlkordinances ant rQulttions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori es of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Permit No._ ------ ______ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittef}`for sbe 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 ( - ^� ' — i Lr�'� Registered Architect and /or Engineer — __ - -__ Employing Electrician's Name - - -- ' ____� G. -- No Street____ /� Subdivision--1 Street and Number where work is to be performed—No _ p _ - 1 se_ t State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs _____________ _____– __—___ No. of Stories___________ Location and Legal Description Lot__ Amount of Permit $-1 - -- My Commission Expires t r' ,�J -- - Street Service Overhead Size Feeders_ Conduit. _ Main Sw _ Amps. Main Fuses_ Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding _________ _______ — __._____— ____-- — _— _.__._____— (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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Notary Public. State of Florida • _Amps. STATE OF FLORIDA, COUNTY OF DADE. 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 ______ __________ __.____ 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. Master Elect can. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES No.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. $PACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST . CHECK Permit No._ ------ ______ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT r Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submittef}`for sbe 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 ( - ^� ' — i Lr�'� Registered Architect and /or Engineer — __ - -__ Employing Electrician's Name - - -- ' ____� G. -- No Street____ /� Subdivision--1 Street and Number where work is to be performed—No _ p _ - 1 se_ t State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs _____________ _____– __—___ No. of Stories___________ Location and Legal Description Lot__ Amount of Permit $-1 - -- My Commission Expires t r' ,�J -- - Street Service Overhead Size Feeders_ Conduit. _ Main Sw _ Amps. Main Fuses_ Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding _________ _______ — __._____— ____-- — _— _.__._____— (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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Notary Public. State of Florida • _Amps. STATE OF FLORIDA, COUNTY OF DADE. 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 ______ __________ __.____ 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. Master Elect can. Permit building during progress of work. Owner's Name and Address ___ .......... ____ . Amount of Permit $ 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 Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot f A �- – – -- – Blofk Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building g- Remodeling Addition No. Street__ . No. – -- -- -- — Street__ — —. .- - - - - -- ,a_ Repairs No. of Stories Service Overhead Size Feeders t Conduit. – .. — Main Sw ;, ' __. Amps. Main Fuses_ Amps. Underground Type of Installation— Conduit_____________ Tubing B.X.L. Metal Moulding (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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit. as are licensed by Miami Shores Village. (Signed) My Commission Expires Notary Public. State of Florida Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. 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 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'8 FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ,{ S / �/ ' f ; JP. .0 ,i :# / // / 'r T f ' .- / CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST ' CHECK Permit building during progress of work. Owner's Name and Address ___ .......... ____ . Amount of Permit $ 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 Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot f A �- – – -- – Blofk Street and Number where work is to be performed—No State work to be performed and purpose of building (By Floors) New Building g- Remodeling Addition No. Street__ . No. – -- -- -- — Street__ — —. .- - - - - -- ,a_ Repairs No. of Stories Service Overhead Size Feeders t Conduit. – .. — Main Sw ;, ' __. Amps. Main Fuses_ Amps. Underground Type of Installation— Conduit_____________ Tubing B.X.L. Metal Moulding (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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit. as are licensed by Miami Shores Village. (Signed) My Commission Expires Notary Public. State of Florida Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. 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 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. -L / ,/\ / / ;if ? Pm„ : /, / 1 / 1 / I ••-■ / / / T . • ' / 4 •