456 NE 101 St (5)Permit No g gi 1 0
STATE OF FLORIDA, 1
COUNTY OP DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date August 28, 1985
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 Mr. . & Mrs . Fred Knowles N 456 Street... N. ...r',�......1.0.1...S..tree.t
Registered Architect and /or Engineer
E mploying Ele trician's NName Luzer Electric, Inc. No 13850 $erect N . W. / 19 Ave.
/ 3 Location on and Le arescrfption Lot f.....5 Block.. Subdivision. tu....a..... .s..s.e. y
Street and Number where work is to be performed —No Same as above Street
None
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs X
Service Overhead X Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ 1 (Signed) (A ..T
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 perinit, as are
licensed by Miami Shores Village.
(Signed)
No. of Stories
ectrician.
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 face
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' ►'T'S
FIXTURES
NO LAMPS
ROIRIG.
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.
. ery
• - e ..
•
• 1
e
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
_
Permit No g gi 1 0
STATE OF FLORIDA, 1
COUNTY OP DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date August 28, 1985
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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 Mr. . & Mrs . Fred Knowles N 456 Street... N. ...r',�......1.0.1...S..tree.t
Registered Architect and /or Engineer
E mploying Ele trician's NName Luzer Electric, Inc. No 13850 $erect N . W. / 19 Ave.
/ 3 Location on and Le arescrfption Lot f.....5 Block.. Subdivision. tu....a..... .s..s.e. y
Street and Number where work is to be performed —No Same as above Street
None
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs X
Service Overhead X Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L .Metal Moulding
Amount of Permit $ 1 (Signed) (A ..T
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 perinit, as are
licensed by Miami Shores Village.
(Signed)
No. of Stories
ectrician.
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 face
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
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Street and Number where work is to be performed —No
STATE OF FLORIDA,
COUNTY OF DADE. } ss '
Amount of Permit $
(Signed)
Date
Application is hereby made for the approval of .the•detailed statement of the plans and specifications herew 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. / $ ma 1 y (
Owner's Name and Address..�.1./ ' //170' 11 No v 6 ' # VEStreet / S
Registered Architect and /or Engineer
Employing Electrician's Name L U 2 -/-F- ��1 - iei C N c C
6 0 "vw Street
Location and Legal Description Lot Block Subdivision
ST
Street. ..f D 7
State work to be performed and purpose of building (By Floors)
-
New Building Remodeling Addition C./ 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
St'R / / ✓K I r ii/ G.-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors ployed 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 andgr this permit, as are
licensed by Miami Shores Village. /f
v` Y
7s
cal Inspector.
as an employer of
ent Supplement, and
aster 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
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
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
/
* I/ 00
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Street and Number where work is to be performed —No
STATE OF FLORIDA,
COUNTY OF DADE. } ss '
Amount of Permit $
(Signed)
Date
Application is hereby made for the approval of .the•detailed statement of the plans and specifications herew 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. / $ ma 1 y (
Owner's Name and Address..�.1./ ' //170' 11 No v 6 ' # VEStreet / S
Registered Architect and /or Engineer
Employing Electrician's Name L U 2 -/-F- ��1 - iei C N c C
6 0 "vw Street
Location and Legal Description Lot Block Subdivision
ST
Street. ..f D 7
State work to be performed and purpose of building (By Floors)
-
New Building Remodeling Addition C./ 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
St'R / / ✓K I r ii/ G.-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perm
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors ployed 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 andgr this permit, as are
licensed by Miami Shores Village. /f
v` Y
7s
cal Inspector.
as an employer of
ent Supplement, and
aster 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
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT ll/
Date........ 6 O°. / /..6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address..,
Registered Architect and /or Engineer
Employing Electrician's Name /2� i � ,, (...(I No 3/074GV ' 7th Slwet. :lt°e
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
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit S (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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.
(Signed)
6o
No Y(I..... Street.... 1.. .e
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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.
r
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.
ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE SERVICE
TEMP. PERM
1 . .
_ _ _.
- -
MOTORS
0.1 HP
MOTORS
1•5 HP
/
N EON
TRANS.
___
RADIO
_ ,
TOTAL
3 .
_ __ _._
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT ll/
Date........ 6 O°. / /..6
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address..,
Registered Architect and /or Engineer
Employing Electrician's Name /2� i � ,, (...(I No 3/074GV ' 7th Slwet. :lt°e
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
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit S (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or 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.
(Signed)
6o
No Y(I..... Street.... 1.. .e
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is 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.
r
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
Contractor
or Builder
Legal
Description
o PERMIT N9 346
0
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Architect
Lot
B1
Work to be performed under this Permit
Address of {� II Amount of
Building 4' "'-' f`_ -e: it II
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 applica-
i tion 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 drawii5fgs or in the statements or,; specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ; r ;
Signed P> y c _ _ ,,e 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.
BY
Value of
Project $
f'
e.6
•
DATE
Contractor's
License No.
F--
19A1 "�
Subdi-
vision
AUTHORITY
ABBOT PRINT
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
DATE '
ELECTRICAL PERMIT o
PLUMBING ❑ N. 9002
ROOFING
Owner of
Building
Architect e"•;t t.
Contractor
or Builder
Legal Lot
Description
Address of
Building
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 specifica ions and that he assumes responsibility for work
done by his agents, servants or employees.
CONTRACTOR OR BUILDER
BI.
Work to be performed under this Permit ; - ' 1 ,-1• - r,r. t- a;rt. Le
Signed•
Subdi-
vision
BY
Contractor's
License No.
Sq. Ft
Value of
Project $
Amt. of �.
Permit $ `3 - +•►-'� "
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
195
BY
AUTHORITY
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specificationswith subnted 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, whe er 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 En i eer :!
Employing Electrician's Nam
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be eerformed and purpose of building (By Floors)
New Building t1 Remodeling Addition Repairs
Amount of Permit $
STATE OP FLORIDA, 1
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ss.
(Signed)
No. /0/ .Street..J,
Block 9 Q Subdivision
Date.
Street
� �' 1
Service Overhead Size Feeders Conduit Main Sw
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed) F �. .. z
Ele cal Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ae an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all' contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
L-)
Amps. ,A( Main Fuses Amps
&RC s
7 L47'
)4
No. qf Stogies
Muter 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.
t"L IV d.— "rt./
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO. LAMPS
.
OUTLET
O L
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
y '
HdATeR �
dKIIOL /
r
TOTAL
f
U87
1?
I
T
' ,
•
777"
_
/,
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
. TOTAL
CONTR.
LIST
/
AC;
/ Mei
?' . 1
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specificationswith subnted 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, whe er 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 En i eer :!
Employing Electrician's Nam
Location and Legal Description Lot
Street and Number where work is to be performed —No
State work to be eerformed and purpose of building (By Floors)
New Building t1 Remodeling Addition Repairs
Amount of Permit $
STATE OP FLORIDA, 1
COUNTY OF DADE.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
ss.
(Signed)
No. /0/ .Street..J,
Block 9 Q Subdivision
Date.
Street
� �' 1
Service Overhead Size Feeders Conduit Main Sw
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed) F �. .. z
Ele cal Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ae an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all' contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
L-)
Amps. ,A( Main Fuses Amps
&RC s
7 L47'
)4
No. qf Stogies
Muter 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.