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1490 NE 101 St (3)PERMIT APPLICATIION FOR MIAMI SHORES VILLAGE qt0 V , e,"0/ 5 / r Tax Folio Date Legal Description Historically Designated: Yes No Owner/Lessee / Tenant c g , g v Master Permit # Y / Owner's Address / 1 I © Al, , 1-- • IC 151 Phone 75 ) — g 7 ) Contracting Co. l t 11 'e C1 G 1 Address I QS& N, E \ 1-\"D S Qualifier �al Vl \ R. PO cC` S e ct\ // - 9 [ CP 3 7 3 S t a t e # E C , 69(O(7 IDS 0 Municipal # Competency # Ins. Co. cr Wad eGo veaa¢ Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN LECTRIC UMBING MECHANICAL ROOFING PAVING FENCE WORK DESCRIPTION P. Yl li I C1 *'(.1 S .e n€ I Yl rxO() CY rYk Cr Y-r t t` 3 Square Ft. Estimated Cost (value) r 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 to 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -n. - , c• tractor to do the work stated. Signature of"owner and/or Condo President Date eatBa,a afrim Notary as to Owner and/or Condo Pre My Commission Expires: FEES: PERMIT3jr%6'O RADON \ 1 /k/99 Date ,`pgY PU OFFICIAL NOTARY SEAL BARBARA ANN FUGAZZI 1 +� * COMMISSION NUMBER 1, 1 44, l IIj t , Q CC360191 F MY COMMISSION EXP. C.C.F. 1 L&' c.. ■ ' -e 1 NOTARY 5 TOTAL DUE i SIGN Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Bu ' ° Date My Commission Expires: — � PU OFFIC::'.t. NC L• ^? i O. e, BARBARA ANN FL'!'! . '` COMMISSION NU' N 'II <' Q CC360191 Or, 0 MY COMMISSION rx: `c OFF\,O 1,.!, . APPROVED: Zoning Building Electrica Mechanical Plumbing Engineering DRIP LOOP -Q BE 10' MFG CAIN) 5' . _J CVP CLAMP f 200A t METER 1 2' ABCIVE REEF 1 FRU HED GRADE a MOOG E[lii ) L r MENEM PVC �L.C t MAIN CB PANEL 8'a' MIN DEPTH 1 zee xr G WND RU:11 QWO SUB CB PANEL NOTARY K1SER UII NA5T Conductor size - Conduit site Conduit. type ?hru rood r-.- Ground rare re MAIN DIS DNNECT Remo Amps Man Art ps Sub Breakers ' . ` Amps NO - SUB FEED E New Type Sire Bond INSIDE PANEL Rating _P D c D Asps Bond Buss . Yes No . L oca n Yetie. PER S.F.B_C. 4505.2(B) • _CONTRA 70 �C�NSE E-0000 SIGNATURE O-F ,OHTRACTOR r nrTnTr' A I rIT\ nPr�r�� i 71 BY LL S PRY PU OFFICIAL NOTARY SEAL O. BARBARA ANN FUGAZZI 'lam r I O COMMISSION NUMBER v � l CC360191 MY COMMISSION EXP. e OF f\ MAR. n.199/ __ Permit No f.25 7 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Qs 0/'s 2 v `� No 1 y/0 J 0 Street.... /,l gineer Registered Architect and /or E Employing Electrician's Name r . Location and Legal Description Lot 7 3 1' Street and Number where work is to be performed —No / b • k Sta work to be performed and purpose of building (By Floors) lv � Building Remodeling Addition t✓ Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I S S. O//?ie e 10. �� No Block 1 (Signed) (Signed) / 6)) )L '7 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe has complied with the provisions thereof, and will require similar compliance from all contractors or sub.contracto work to be performed under this permit; and will post or cause to be osted for inspect n e of the w as are required by the Act. The undersigned agrees to employ only such sub - contract on work to be licensed by Miami Shores Village. Street. .r54 t ° re r" 1 Sf — °ea Subdivision / � 1321 G' 2 r - ate � S + r t e / 1r Street ' k ' /0/ -� Ark Overhead S Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps / Type of Installation — Conduit Tubing B.X.L Metal Moulding ctrical Inspector. s as an employer of nent Supplement, and employed by him in the blic notice or notices s permit, as are 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. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 'a a 7 I I' CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONYR. LIST , CHECK Permit No f.25 7 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Qs 0/'s 2 v `� No 1 y/0 J 0 Street.... /,l gineer Registered Architect and /or E Employing Electrician's Name r . Location and Legal Description Lot 7 3 1' Street and Number where work is to be performed —No / b • k Sta work to be performed and purpose of building (By Floors) lv � Building Remodeling Addition t✓ Repairs No. of Stories Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I S S. O//?ie e 10. �� No Block 1 (Signed) (Signed) / 6)) )L '7 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe has complied with the provisions thereof, and will require similar compliance from all contractors or sub.contracto work to be performed under this permit; and will post or cause to be osted for inspect n e of the w as are required by the Act. The undersigned agrees to employ only such sub - contract on work to be licensed by Miami Shores Village. Street. .r54 t ° re r" 1 Sf — °ea Subdivision / � 1321 G' 2 r - ate � S + r t e / 1r Street ' k ' /0/ -� Ark Overhead S Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps / Type of Installation — Conduit Tubing B.X.L Metal Moulding ctrical Inspector. s as an employer of nent Supplement, and employed by him in the blic notice or notices s permit, as are 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. Permit No. 1.1 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 9 G , Re t, ( L No / / I 0 Street Registered Architect and /or ! Eger ..J Employing Electrician's Name ..- .S.x owes e re Location and Legal Description Lot Block Subdivision (' Street N' A ' /0/ O / �•+ ./% 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date . 7- // 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 $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi o.ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo • . Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -c. • ractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecti e site of the w• k such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contrac rs, on work o b performed • •der this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. Il SS. r e -t No , 57 (Signed). t Street EVern ?Di lectrician. 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 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 as" CONTR. LIST a p( CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1.3 HP NEON TRANS. ,RADIO TOTAL CONTR. LIST CHECK Permit No. 1.1 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 9 G , Re t, ( L No / / I 0 Street Registered Architect and /or ! Eger ..J Employing Electrician's Name ..- .S.x owes e re Location and Legal Description Lot Block Subdivision (' Street N' A ' /0/ O / �•+ ./% 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date . 7- // 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 $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi o.ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo • . Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -c. • ractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecti e site of the w• k such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contrac rs, on work o b performed • •der this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. Il SS. r e -t No , 57 (Signed). t Street EVern ?Di lectrician. 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 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. Permit No 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 b plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Addre Registered Architect and /or Engine Employing Electrician's N Location and Legal Descr' Lot Servic Block / Subdivision Street and Number where work is to be performed —No `�`g 0 Street A . ! £. / State work to be perfor d and purpose of building (By Floors) New Building i' Remodeling Addition Repairs No. of Stories et a Undergroun Type o of 1 stallation— Conduit / Tubing Site Feeders...,. P Conduit �� o /V7 Street v ` ( 0 / Main Sw Amount of Permit $ • O (Signed). Date Amps Main Fuses Amps B.X.L Metal Moulding (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. 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 subcontractors, on work to licensed by Miami Shores Village. 3 p 7 S — 24 g30 1 o SC S 7 ) r STATE OF FLORIDA, l l Z COUNTY OF DADE. } 33. b s ue' 9 Before me, the undersigned authority, a no kV -5— 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. • gaite Electrician. and take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials a /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG •p'T's FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP C/ HEATER TOTAL CONTR. IST L ® �REece Q ,A ��i� /CJi ` o / Ia) J 7S j - 50 • /� v ,` h • ift CHECK / oS a ?sr ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. .." ---- # 77 ./ SO MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CL ST LIST / / w / i QU 1 / 101) CHECK Permit No 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 b plied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner's Name and Addre Registered Architect and /or Engine Employing Electrician's N Location and Legal Descr' Lot Servic Block / Subdivision Street and Number where work is to be performed —No `�`g 0 Street A . ! £. / State work to be perfor d and purpose of building (By Floors) New Building i' Remodeling Addition Repairs No. of Stories et a Undergroun Type o of 1 stallation— Conduit / Tubing Site Feeders...,. P Conduit �� o /V7 Street v ` ( 0 / Main Sw Amount of Permit $ • O (Signed). Date Amps Main Fuses Amps B.X.L Metal Moulding (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. 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 subcontractors, on work to licensed by Miami Shores Village. 3 p 7 S — 24 g30 1 o SC S 7 ) r STATE OF FLORIDA, l l Z COUNTY OF DADE. } 33. b s ue' 9 Before me, the undersigned authority, a no kV -5— 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. • gaite Electrician. and take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials a /or workmanship. Permit No Service Application is hereby mad d for the approval of the detailed statement of the plans and specifications herewith ed 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 ?�A. lh 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 �4 1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repair l No. of Stories Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Overhead Underground Type of Installation— Conduit Tubing B.X.L Size Feeders Conduit 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 .n the site as are required by the Act. The undersigned agrees to employ only such subcontractors, . w. k to licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE: I Before me, the undersigned authority, a notary public, duly authorized S S. MIAMI SHORES VILLAGE No..... Street No Street (Sign to administer oaths Main Sw Amps Main Fuses o Metal Mouldi g Amps Electrical Inspe .r. 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 perfprme. under this permit, as are and Master Electrician. 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 fact' therein by him stated are true. mmission Expires Notary Public, State of Florida NOTE: A nspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials ,a 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 H EATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.S HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Service Application is hereby mad d for the approval of the detailed statement of the plans and specifications herewith ed 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 ?�A. lh 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 �4 1 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repair l No. of Stories Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Overhead Underground Type of Installation— Conduit Tubing B.X.L Size Feeders Conduit 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 .n the site as are required by the Act. The undersigned agrees to employ only such subcontractors, . w. k to licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE: I Before me, the undersigned authority, a notary public, duly authorized S S. MIAMI SHORES VILLAGE No..... Street No Street (Sign to administer oaths Main Sw Amps Main Fuses o Metal Mouldi g Amps Electrical Inspe .r. 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 perfprme. under this permit, as are and Master Electrician. 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 fact' therein by him stated are true. mmission Expires Notary Public, State of Florida NOTE: A nspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials ,a or workmanship.