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166 NE 101 St (13)Date Job Address ,e /t/- G `z //' Tax Folio Legal Description Owner / Lessee / Tenant ®(i f ?t' U // 6 � Master Permit # Owner's Address _,/ 4/ 6 /0/ 5 Phone 75g- - W7 Contracting Co. z5 '2 &(C / ` ea r° t' Address Qualifier SS# - - Phone State # Municipal # Competency # %y;Ty i- Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIN ELECTRICA PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION cc/. 4 ,r c9� Square Ft. Estimated Cost(value) /.3 cci '®' 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 authoriz he ab• -. amed ontractor/8o do the work state Signat of pwner Date: Agq. /T Y Notary as to Owner and /or C My Commi Expires: S'-f ** * * * APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE and or Condo President 40.1 ANDREA BARRON * '! l l i My Commission Cc319297 1r Expires Aer. 04.1997 es reflattbY HAI 800- 422.1555 Signa re of Contractor or Owner- Builder Date: /D /may /s' .,, : . , / .i! ?ZIt i %k Notary as to ''�'' gammb er- Builder �'. My Commissionr ct ' - es:8c- * * * * * * * * * * * * ** FEES: PERMIT ,D RADON C.C.F. 1 )) NOTARY TOTAL DUE Y) Fire Other Building Electrical Mechanical Plumbing Engineering_ ANDREA BARRON Co mission CC319297 t°0),,r PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date:09/12/92 Job Address: 166 North East 101th St. Tax Folio:11- 3206 -013 -1970 Legal Description: 6 E . 7 f 5- Y / Master Permit# Jj/Lf • Owner /Lessee /Tenant: Pruitt Owner's Address: Same Phone (305) 756 -9087 Contracting Co.: Bennett Electric Serv. Co. Address: 6900 NE 69th St, Miami Qualifier: John P. Higgins SS# State# EC0000625 Competency# 000013233 Architect /Engineer: Address: Bonding Company Address: Mortgagor . Address: Permit type: Electrical Work Description: Meter replacement, due to hurricane damage. Phone: (305)759 -1665 Ins. Co.: Square Ft: Estimated Cost: $ 675.00 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 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, as on the attached addendum ( if applicable). I certify that all work will be performed to meet the standards of all laws regulating constructyion in this juresidiction. I understand that seperate 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 -named contractor to do the work stated. Signature of Property Owner or Condo Pres. Date: ctofovt Owner- buildei Y ems. s• Notary as to Owner /or Condo President Notary as t'o,or� - .;� ��r�� Owner- builder * * * * * My commission expires: My commissio'ria •� State of Honda * My Commission Expires 6c. 11,` 1991 Bondad fire Regency Ills: FEE: APPROVED: Fire Other C� �S ��C� ; Zoning Building Electrical /1 IP i � 1 McGhanis ail Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRNETER CHANGE I 3O = REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER •1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP • TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL • MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: , AIR CONDITIONERS A/C UNIT STRIP HEATER • FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS ' ' . LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL - OUTLETS COWERCIAL WATER SERVICE C SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4° TILE/RES. .- VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. — CATCH BASIN 'Ai7E C. IMPACT' F. 1 a.DU DISCHARGE WELL DOMESTIC WELL Tn 729 L - AREA DRAIN • . ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING • LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /5 7,C 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, Fi. :lda, 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. l� S Z/ /c� � E /D/ s`.�- Owner's Name and Address...... N Street Registered Architect and /or Engineer.. // A A / / � Employing Electrician's Name../ 6 4 ey /e No , 1 �..f 4 i s//�� 1 tree t...... 7 .. �J s— ,/.i•79d- l Location and Legal Description Lot Block Subdivision C Street and Number where work is to be performed —No Street / 6 J . / � State work to be performed and purpose of building (By Floors) - .5 .. / Er . 2 /.2 J'',ewe New Building Remodeling Addition Repairs Y Date No. of Stories rgiound Size Feeders /ei Conduit Main Sw Amps Main Fuses . Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding 5—' S&I/' V i C.- C 0 1 ./ Amount of Permit $ (Signed) e,.., .. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a L in employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors empl ed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Electrical nspector. aster Electrician. STATE OF FLORIDA, COUNTY OP DADE. T 85. 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 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /5 7,C 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, Fi. :lda, 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. l� S Z/ /c� � E /D/ s`.�- Owner's Name and Address...... N Street Registered Architect and /or Engineer.. // A A / / � Employing Electrician's Name../ 6 4 ey /e No , 1 �..f 4 i s//�� 1 tree t...... 7 .. �J s— ,/.i•79d- l Location and Legal Description Lot Block Subdivision C Street and Number where work is to be performed —No Street / 6 J . / � State work to be performed and purpose of building (By Floors) - .5 .. / Er . 2 /.2 J'',ewe New Building Remodeling Addition Repairs Y Date No. of Stories rgiound Size Feeders /ei Conduit Main Sw Amps Main Fuses . Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding 5—' S&I/' V i C.- C 0 1 ./ Amount of Permit $ (Signed) e,.., .. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a L in employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanen Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors empl ed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Electrical nspector. aster Electrician. STATE OF FLORIDA, COUNTY OP DADE. T 85. 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. Size of Service Number of Lighting Circuits Range wattssWater Heater -. ' ' watts ,' A 4 °�� � by Address y for ` owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: i MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at < < Power: Connected load 1 H P. Space Heaters watts Other Apparatus PERMIT No. -_ A ELECTRICAL IIN PECTOR. BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 1592 Work to be performed under this Permit Owner of Building Architect Contractor or Builder • Legal Lot Bl. Description Address of Building Subdi- vision Value of Project DATE ,.r Contractor's License No. Amt. of Permit 19 4— 0 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 -' - 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 regula. tions 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. CONTRACTOR OR BUILDER t ' iBY AUTHORITY C � JOB: AD: BUILDING ELECTRICAL PLUMBING • • • WORK • DONE BY • The following is ready for Inspection: Inspector's Report: - • • • REQUESTED • • WIL -L BE READY Permit No. 1 2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted / 1- VO for the buildi 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. � A d Owner's Name and Address _ 1 STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ss. 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 work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs My Commission Expires • No. r „dd / Street 4 F ___ ___ .."1: » -No. / 71'” c' Service Overhead Size Feeders Conduit__ _Main Sw �+ Amps. s p Type of Installation— Conduit Tubing__ B.X.L. Metal Moulding Amount of Permit $ 1 !P p(Signed) O , i- ' ! � ,� ii1, I Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his otligations 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) t ,�. Date S t r e e t _ _ Subdivision_________.:.a. 4 — — 1 04 E 1 Master Electrican. 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. Notary Public, State of Florida No. of Stories Main Fuses Amps. 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 (l / 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 R. CONT LIST 1 . 4r i 4' CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST /� }I �� / { /if7LLi CHECK Permit No. 1 2 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted / 1- VO for the buildi 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. � A d Owner's Name and Address _ 1 STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ss. 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 work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs My Commission Expires • No. r „dd / Street 4 F ___ ___ .."1: » -No. / 71'” c' Service Overhead Size Feeders Conduit__ _Main Sw �+ Amps. s p Type of Installation— Conduit Tubing__ B.X.L. Metal Moulding Amount of Permit $ 1 !P p(Signed) O , i- ' ! � ,� ii1, I Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his otligations 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) t ,�. Date S t r e e t _ _ Subdivision_________.:.a. 4 — — 1 04 E 1 Master Electrican. 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. Notary Public, State of Florida No. of Stories Main Fuses Amps. 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 INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildin( 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 Erktrician's Name _ A o. J � Block 1a Street and Number where work is to be performed —No 6 6__( S et�!°��(' State work to be performed and purpose of building (By Floors) New Building Remodeling • Addition Repairs Location and Legal Description Lot 6 Amount of Permit $_ — S S. MIAMI SHORES VILLAGE Service Overhead Size Feeders Conduit in Sw Ams' Main Fuses Amps. s P — P Type of Installation— Conduit Tubing__ B.X.L. .Metal Moulding h (Signed) Electrical Inspector. ned applicant for this building ` / The undersi g pp g 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) Date .64 DD ,y No -_4 Street Street L- -�— `- -7 Subdivision__ C } - No. of Stories 2)-- Master Electrican. STATE OF FLORIDA, 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. , Ic) o 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 R ECE•PP'T FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST 'T CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST R "/Z', CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildin( 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 Erktrician's Name _ A o. J � Block 1a Street and Number where work is to be performed —No 6 6__( S et�!°��(' State work to be performed and purpose of building (By Floors) New Building Remodeling • Addition Repairs Location and Legal Description Lot 6 Amount of Permit $_ — S S. MIAMI SHORES VILLAGE Service Overhead Size Feeders Conduit in Sw Ams' Main Fuses Amps. s P — P Type of Installation— Conduit Tubing__ B.X.L. .Metal Moulding h (Signed) Electrical Inspector. ned applicant for this building ` / The undersi g pp g 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) Date .64 DD ,y No -_4 Street Street L- -�— `- -7 Subdivision__ C } - No. of Stories 2)-- Master Electrican. STATE OF FLORIDA, 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. , Ic) o 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. •