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278 NE 101 St (10)Date lL 0, Legal Description WORK DESCRIPTION Signature of owner and/or Condo President Iku0,) A 3 o- Notary as to Owner and/or Con resident i � My Commission Expires: FEES: PERMIT /h RADON Date Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address (2 -7057 — N � 01 S7 Tax Folio 1 1 — c) � - O '- 0 4 `�' a) Historically Designated: Yes No Owner/Lessee / Tenant althiati, W Owner's Address () k) (0 ( SF Contracting Co. e I? O LLL 'K sd C 0 Qualifier C n l aw State # e p ( D 133 ?V Municipal # Architect/Engineer Address Bonding Company Address Mortgagor - Address Address APPROVED: Zoning Building Mechanical Plumbing Master Permit # Via- 00 Phone 7 5c) _ Z L/D F cco ocoox 8ta db. ss# . Phone 55 2- 6 9a Competency # Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN t OrkOwACecti R od '_ e Square Ft. Estimated Cost (value) loam 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 AP t.IDAVIT: 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 •on actor or • - Builder C.C.F. NOTARY Electrical BOND TOTAL D 4 Structural Engineer 0 Miami Shores Village Sec. 6 -3 Air Conditioning Regulations. (a) All ind'cvidual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. Units installed over public property, paths of egress or more than ten (10) feet above grade shall be secured to the structure by bolts or screws to resist horizontal wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall be supportedby steel angle bradaets secured by bolting. Bolts to masonry shall be set in lead shields or similarly rot - resistant fastenings. (b) The following special requirements shA11 apply to the control and regulation of noise nuisance from air conditioning machinery. (1) All equipment, existing or hereafter installed, regardless of location, ShA11 be maintained in good working order. Equipment so located that normal operating noises create a nuisance to adjacent owners or occupants chA1l be provided with soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure maintenance of a reasonable noise leveL (2) AIl on outer walls, on roofs, or in the other exposed locations, which are manly mist', and which causes valid cnplAirm from adjoining property owners or occupants may be required to be relocated, redesigned and/or enclosed in noise- retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. Special consideration shall be given to the planning of all future installations to minimize the noise nuisance to adjoining property owners or occupants and the building official Shill have authority to reject or require the redesign of any system which, in his opinion, would cause such a noise nuisance. • (c) Violation of this section shall be ptmished as is now or may hereafter be provided by law (Ord. No. 299, Sec. 1 -3, 2- 21 -61). I have read the above ordinance and will comply with the regulations thereof ( .As\N61J-e, owner /signature I have read the above ordinance and will comply with the regulations thereof M H 11B UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE ET LIGHT OUTLETS CENTRAL HEATING WASHER RECEPTACLES A/C (WIND) • POSAL SERVICE TEMPORARY A/C (CENTRAL) NKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK CR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION ASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING ERCEPTOR RANGE TOP UNDERGROUND TANKS ATORY OVEN ABOVE GROUND TANKS 'NORY TRAY WATER HEATER U.F. PRESSURE VESSELS ,THES WASHER MOTORS 0- 1 HP STEAM BOILERS E'ER MOTORS OVER 1- 3 HP HOT WATER BOILERS K, POT /3 COMP. MOTCRS OVER 3- 5 If MECHANICAL VENTILATION K, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES . K, SLOP MOTCRS OVER 8- 10 FP ELEVATORS/ESCALATORS PORARY WATER CLOSET MOTCRS OVER 10- 25 H FIRE SPRINKLER SYSTEMS NAL J MOTORS OVER 25-100 FP COOLING TOWERS ER CLOSET MOTORS OVER 100 FP VIOLATION IRECT WASTES . A/C WINDOW REINSPECTION ER SUPPLY TO: AIR CONDITIONERS STRIP HEATER p frLIC F' NA /C UNIT IRE SPRINKLER GENERATORS TRANSFORMERS • EATER -NEW INST. GENERATORS TRANSFORMERS EATER - REPLACE GENERATORS TRANSFORMERS AWN SPRINKLER -WELL SPECIAL PURPOSE WINNING POOL OUTLETS COMMERCIAL ATER SERVICE SIGN TUBES :R CONNECTIONS SIGN TRANSFORMERS .ITY -SEWER • SIGN TIME CLOCK .ITY -WATER FIXTURES IC TANK ANTENNA ; Y TELEVISION OUTLETS INFIELD, 4' TILE/RES. VIOLATION ' & ABANDON SEPTIC TANK REItSPECTION :AGE PIT CU. FT. 11 BASIN :1ARGE WELL :STIC WELL . DRAIN • INLET R WATER HEATER STANDPIPE PIPING • SPRINKLER SYSTEM RANGE R SET (GAS) PIPING s. ADDENDUM TO BUILDING PERMIT APPLICATION N APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL 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, Flu:ida, 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 Ci /3.4/ C - 1 2-0 Permit No �� l Registered Architect and /or Engineer Employing Electrician's Name 1 . C- fl....... .��.�� �.� ( N Location and Legal Description Lot.. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling verhead Amount of Permit $ - ,3 6 1/ STATE OF FLORIDA, 1 COUNTY OF DADE. I °°' nderground Size Feeders.. # �C' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 7 .....Main Sw A i Additon on . 0 .. ..9..(p 41/1 G`/ Street /0/4A • � �+ . �.. 6.BV Block.l,7. Subdivision /SW 4 Amps !so /9 Type of Installation — Conduit ' Tubing • B.X.L Metal Moulding (Signed) No ? S1 1vNStreet /0( 3 7L S eet 1 f`?! -r 7t C d' /QO•os Repairs No. of Stories (Signed) Main Fuses Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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•inepection 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. H EAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST 3 / D CHECK KIM � /7/5 / 5 . ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK 1 DO .. 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, Flu:ida, 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 Ci /3.4/ C - 1 2-0 Permit No �� l Registered Architect and /or Engineer Employing Electrician's Name 1 . C- fl....... .��.�� �.� ( N Location and Legal Description Lot.. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling verhead Amount of Permit $ - ,3 6 1/ STATE OF FLORIDA, 1 COUNTY OF DADE. I °°' nderground Size Feeders.. # �C' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 7 .....Main Sw A i Additon on . 0 .. ..9..(p 41/1 G`/ Street /0/4A • � �+ . �.. 6.BV Block.l,7. Subdivision /SW 4 Amps !so /9 Type of Installation — Conduit ' Tubing • B.X.L Metal Moulding (Signed) No ? S1 1vNStreet /0( 3 7L S eet 1 f`?! -r 7t C d' /QO•os Repairs No. of Stories (Signed) Main Fuses Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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•inepection 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 !.) .S �7 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I b$' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Larkin No 278 Street N.E. 1 01 St • Registered Architect and /or Engineer Employing Electrician's Name._ Br.Qthers E1e Ctx'i C Corp • No 13339 Street N • W • 7 Ave • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 278 Street N • E • 101 St • State work to be performed and purpose of building (By Floors) re.S_1 New Building Remodeling XX Addition Repairs No. of Stories Q•� Service Overhead Size Feeders Conduit Main Sw Am s 150 Sm p Main Fuses Amps Underground P Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) E ectrica Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of Tabor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F /da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su . ontractors 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-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date 9/10/70 �Rlaster Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST 1 - 15C amp 2 window air conditioners .6•( CHECK Permit No !.) .S �7 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. I b$' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Larkin No 278 Street N.E. 1 01 St • Registered Architect and /or Engineer Employing Electrician's Name._ Br.Qthers E1e Ctx'i C Corp • No 13339 Street N • W • 7 Ave • Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 278 Street N • E • 101 St • State work to be performed and purpose of building (By Floors) re.S_1 New Building Remodeling XX Addition Repairs No. of Stories Q•� Service Overhead Size Feeders Conduit Main Sw Am s 150 Sm p Main Fuses Amps Underground P Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) E ectrica Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of Tabor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F /da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su . ontractors 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-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date 9/10/70 �Rlaster 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. W 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, Fiurida, 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. 5472 Larkin No 278 Street N. E. 101 St. Owner's Name and Address Registered Architect and/or Engineer Dewey Hawkins A. C. 902 S. ?•1. 69 Ave. Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 278 Street N.rl' E. 101 St. 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 P p Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 4.00 STATE OF FLORIDA, l COUNTY OF DADE. I "' MIAMI SHORES VILLAGE 1 2hp wall 14,000 BTU (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lorida Permanent Supplement, and has complied with the provisions thereof, and will require similar com pliance from al tractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for in ection on the site of the work s h public otice or notices as are required by the Act. The undersigned agrees to employ only such sub-con ac�prs n work to be performe under is permit, as are licensed by Miami Shores Village. 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'7'8 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 O.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK W 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, Fiurida, 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. 5472 Larkin No 278 Street N. E. 101 St. Owner's Name and Address Registered Architect and/or Engineer Dewey Hawkins A. C. 902 S. ?•1. 69 Ave. Employing Electrician's Name No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 278 Street N.rl' E. 101 St. 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 P p Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ 4.00 STATE OF FLORIDA, l COUNTY OF DADE. I "' MIAMI SHORES VILLAGE 1 2hp wall 14,000 BTU (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and acce his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of lorida Permanent Supplement, and has complied with the provisions thereof, and will require similar com pliance from al tractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for in ection on the site of the work s h public otice or notices as are required by the Act. The undersigned agrees to employ only such sub-con ac�prs n work to be performe under is permit, as are licensed by Miami Shores Village. 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. Permit No 1-2 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date a 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, hether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No 7 a - Street..lf�.. , 4 .J l a Owner's Name and Address Registered Architect and /or Engineer Q� p . 4 Employing Electrician's Name. Q e-- 1 No 9 70 ( Street .Rr 2- F - ' " Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be perforated 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) 64 J Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 6liligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. as. 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 RECEVP'7's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. $� ACC HEA TER STRIP HEATER .EVE..."."- TOTAL , CONTR. LIST _1--- CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIB? I CHECK Permit No 1-2 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date a 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, hether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No 7 a - Street..lf�.. , 4 .J l a Owner's Name and Address Registered Architect and /or Engineer Q� p . 4 Employing Electrician's Name. Q e-- 1 No 9 70 ( Street .Rr 2- F - ' " Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be perforated 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) 64 J Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his 6liligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. as. 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 ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building Lot PERMIT N? 4318 MIAMI SHORES VILLAGE, FLORIDA Owner of Building DATE Contractor's License No. 11 ,0 195 C. Work to be performed under this Permit 4 / B1 Subdi- vision Value of Amount of 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 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. f 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e Permit No Amount .cit'Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT 6s. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date (Signed) 771 • 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 .. A 9 S No..... ..A. Registered Architect and /or Engineer 1 f j (.7 `3 Employing Electrician's Name _..l. f. ......_ No 9' 7 Street./: 41' treet. / :' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Street 4 Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding e 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 - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 8 6 ® �^: �°'� 43 / �� i( ;. �--'- " . 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 Amount .cit'Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. I APPLICATION FOR ELECTRICAL PERMIT 6s. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) Date (Signed) 771 • 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 .. A 9 S No..... ..A. Registered Architect and /or Engineer 1 f j (.7 `3 Employing Electrician's Name _..l. f. ......_ No 9' 7 Street./: 41' treet. / :' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Street 4 Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding e 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 - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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 ELECTRICAL PLUMBING ROOFING Owner of Building tit Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA 0 PERMIT N? 12406 ❑ Work to be performed under this Permit 31. Subdi- vision DATF // ` f i 195 Contractor's License No f ' Value of Amt. of r 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 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. A '""' ` .y BY wr 44 �] IN SPECTOR In consideration of the issuance to me of this permit I agree to perfo the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. t "if tl, A., CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING PERMIT ■9 1304 Architect Contractor or Builder Legal Lot Bl. Description Address of Building Work to be performed under this Permit Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project DATE 194_ Contractor's License No. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or &}'Seciftations 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 aunt, servant -or employee. • c ' ♦ ,.., BY Q� THIS CERTIFIES THAT the wiring and apparatus installed at� I' 1 by tqvb ,4,4,e Address for v . e Y owner, and occupied as / MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION has been °' .ected 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 INSPE TOR. PERMIT No.t JOB: ELECTRICAL PLUMBING ,fr ADD: 1 WORK BUILDING ; : DONE BY: REQUEST FOR • • >(/' • INSPECTION : • WAS MADE • WILL BE READY • The following is ready for Inspection: - Inspector's Report: - 't" C..... NOTE: REQUESTS FOR INSPECTIONS MUST :E MADE BY THE CONTRACTOR PERFORMING THE WORK. JOB: ' ?r`i ADD: / • : WORK BUILDING • : DONE BY: • �'' ' REQUEST FOR ELECTRICAL INSPECTION • • WAS MADE • WILL BE READY PLUMBING • • Inspector's Report: - • • • • • • • • • The following is ready for Inspection: - 0.K ..1 1� I Y1 r1/4- - NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR PERFORMING THE WORK. ` J Permit No Amount of Permit $_ ci Service Overhead Size Feeders Underground STATE OF FLORIDA, COUNTY OF DADE. 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 ¶iuilding 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 ____- Lb o My Commission Expires Registered Architect and /or Engineer _ Employing Electrician's Name _J' 11 ___e, No _ __ IStree- / 2 ,7 413 9 Location and Legal Description Lot L.10 ® 3 Block . r Street and Number where work is to be performed —No. 1_7 P . t .L____ ��!_____ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed) No (Signed) __ Conduit___ ?Main Sw.___ /__S/ V_ Amps. Date / 6 Notary Public. State of Florida Street__A l-__ _/ _ __ for - - Subdivision_____ Main Fuses ___L _Amps. Type of Installation— Conduit Tubing B.X.L. O Metal Moulding • Electrical Inspe or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplementand 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. 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. 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 RE - CEE P FIXTURES N REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST 7 7 / 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 Amount of Permit $_ ci Service Overhead Size Feeders Underground STATE OF FLORIDA, COUNTY OF DADE. 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 ¶iuilding 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 ____- Lb o My Commission Expires Registered Architect and /or Engineer _ Employing Electrician's Name _J' 11 ___e, No _ __ IStree- / 2 ,7 413 9 Location and Legal Description Lot L.10 ® 3 Block . r Street and Number where work is to be performed —No. 1_7 P . t .L____ ��!_____ Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed) No (Signed) __ Conduit___ ?Main Sw.___ /__S/ V_ Amps. Date / 6 Notary Public. State of Florida Street__A l-__ _/ _ __ for - - Subdivision_____ Main Fuses ___L _Amps. Type of Installation— Conduit Tubing B.X.L. O Metal Moulding • Electrical Inspe or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplementand 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. 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. 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. b 3 , r c...� MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at Address owner, and occupied as PERMIT No. for 5 has beenspected 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. Permit No. 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__ Registered Architect and /or Engineer 14 r ,, .4 — ___ ______ ______________ — ___ /� __�_ Employing Electrician's Name ___ , _�'„ .. ° - No. / !" Areet Location and Legal Description Lot arlt_____ 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 Service Oerd Size Feeders U n de rgr o un d __ Type of Installation— Conduit r Tubing____!! B.X.L. Metal Moulding -- - - -- -- ------------------ - - - - -- Amount of Permit $ (Signed) STATE OF FLORIDA, t COUNTY OF DADE. Before me, SS. the undersigned authority, a notary My Commission Expires public, duly (Signed) authorized No to administer oaths Street Repairs �jjrrV� p _____ ______ Main Fuses___ Conduit ___Main Sw.___!<♦__JT/_ Am s. ! V Electrical Inspe or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e p er 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. Street - At _L L-_o _.Ll. No. of Stories Master Electrican. Apsants. 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 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 H EATER STRIP HEATER TOTAL CONTR. LIST --/- 4._ 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 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 14 r ,, .4 — ___ ______ ______________ — ___ /� __�_ Employing Electrician's Name ___ , _�'„ .. ° - No. / !" Areet Location and Legal Description Lot arlt_____ 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 Service Oerd Size Feeders U n de rgr o un d __ Type of Installation— Conduit r Tubing____!! B.X.L. Metal Moulding -- - - -- -- ------------------ - - - - -- Amount of Permit $ (Signed) STATE OF FLORIDA, t COUNTY OF DADE. Before me, SS. the undersigned authority, a notary My Commission Expires public, duly (Signed) authorized No to administer oaths Street Repairs �jjrrV� p _____ ______ Main Fuses___ Conduit ___Main Sw.___!<♦__JT/_ Am s. ! V Electrical Inspe or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e p er 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. Street - At _L L-_o _.Ll. No. of Stories Master Electrican. Apsants. 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 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. / 1 (7 A %4.