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246 NE 102 St (3)Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other st ucture 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 Location and Legal Description Lot New Building Remodeling Addition Amount of Permit $ / 6 0 STATE OF FLORIDA, COUNTY OF DADE ) ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date (9 f `� My Commission Expires No ` 6 / ®� Street No .. 7... 5 Street 21 I g?' Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) �,. 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 (Signed).. (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. Notary Public, State of Florida 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. 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 HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS Q. HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST a e B 6 CHECK - - - - -. - ' Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other st ucture 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 Location and Legal Description Lot New Building Remodeling Addition Amount of Permit $ / 6 0 STATE OF FLORIDA, COUNTY OF DADE ) ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date (9 f `� My Commission Expires No ` 6 / ®� Street No .. 7... 5 Street 21 I g?' Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) �,. 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 (Signed).. (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. Notary Public, State of Florida 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. 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 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date I e v . r 6 ~ / . 8 16:66e NoZ4L N.E.hoz Registered Architect and /or Engineer C 'A ,�/ Employing Electrician's Name... C + I r. S.��.j` No 9130 ��•y� f a • 7 Street 3has of 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 Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit S 85. My Commission Expires (Signed) Notary Public, State of Florida The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati° as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perms nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors a 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 sub-cont .ctors, , work to be performed under this permit, as are licensed by Miami Shores Village. (Signed J. Iv v yr aster Electrician. STATE OF FLORIDA, 'l COUNTY OF DADE. l 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. NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. • CONN. $f ACE HEATER STRIP HEATER TOTAL CONTR. LIST / 4 3 a 3 n _. ` 3 we CHECK ^° ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. �/ W / Mate •F.1 (v t/ QTOyB• Y4 4 • MEON I .S OTORS HP . TRANS. N CI Ott e ��- RADIO TOTAL CONTR. LIST . . 75 `G(/ CHECK It _ _.. .. ___. 0, _. _ .. __ Permit No 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date I e v . r 6 ~ / . 8 16:66e NoZ4L N.E.hoz Registered Architect and /or Engineer C 'A ,�/ Employing Electrician's Name... C + I r. S.��.j` No 9130 ��•y� f a • 7 Street 3has of 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 Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit S 85. My Commission Expires (Signed) Notary Public, State of Florida The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati° as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perms nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors a 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 sub-cont .ctors, , work to be performed under this permit, as are licensed by Miami Shores Village. (Signed J. Iv v yr aster Electrician. STATE OF FLORIDA, 'l COUNTY OF DADE. l 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. 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 Architect Contractor or Builder Legal Description Address of Building Lot This permit is granted to the contractor or herefor in strict compliance with all ordinances drawings, statements or specifications that may time if the work is not done in compliance with granted is the understanding that the contractor pertaining to the work covered hereby whether done by his agents, servants or employees. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6769 Signed. Work to be performed under this Permit 0 ii5 3 3 rt-% �..) Subdi- vision builder named above to construct the building or to install the equipment or device described in the application pertaining thereto and with the understanding that the work will be performed in ompliance with any plans have been submitted to and approved by the proper municipal authorities. This P9rmit may be revoked at any such ordinances or if the plans are changed withou f authorization. A further condition upon which this permit is or builder named above assumes a responsibi • for a thorough knowledge of the ordinances and regulations shown on the plans or drawings in the stgte ents or specifications `a d that he Assumes responsibility for work BY• BY Value of Project $ INSPECTOR DATE - b Contractor's 1 License No. Amount of Permit $ In consideration of the issuance to me of this permit I agree to perform the work covered hereu er in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitt ' 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, rvant or employee. AUTHORITY 195 0 6 / , SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'TS FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL LIST G UST / ■ Y CHECK */'.... ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Amount of Permit $ STATE OP FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT • (Signed) Date f - y! -d_ 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 No ' `Y' Street y 1 Registered Architect and Tor Engineer d1 Employing Electrician's Name ._. + - 0 =6 .No 1 0 ,"' v i Street I -44 ...4■0 . Location and Legal Description Lot / � BBlock Subdivision Street and Number where work is to be performed —No '�'... .6 .(1 / 0 - 1-- - r Street .y State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding (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 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. 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. ;I:•‘ , •"_ts 1....1";`,. • .n . am *ref ,, • ft - - It ) ( r [ « here [ *dr W Z «¥ [ done Permit No y31 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f 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 pr not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ 1__s; /1 _/fir_ 5 ' ee' No Street Registered Architect and /or Enginee Employing Electrician's Name__ __./ e 4 Z_ �_ Location and Legal Description Lot Street and Number where work is to be performed— No._ Service Overhead Underground Size Feeders Conduit Amount of Permit $__,/ — " (Signed) appeared_ ss. No. - c/ 1 '- Type of Installation— Conduit_ Tubing B X L Metal Moulding Date Block Subdivision Street__ .r IA ' 4- Q 4 Street_______!____ ' f- L,1 State work to be performed and purpose of building (By Floors New Building Remodeling — Addition Repairs. No. of Stories Main Sw Amps Main Fuses Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his . igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com fled General Laws of Florio' 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. ,G ( Signed) _ ( _ 7 ` !:._' Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. IT Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. SE ICE ER M. - MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No y31 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f 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 pr not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__ 1__s; /1 _/fir_ 5 ' ee' No Street Registered Architect and /or Enginee Employing Electrician's Name__ __./ e 4 Z_ �_ Location and Legal Description Lot Street and Number where work is to be performed— No._ Service Overhead Underground Size Feeders Conduit Amount of Permit $__,/ — " (Signed) appeared_ ss. No. - c/ 1 '- Type of Installation— Conduit_ Tubing B X L Metal Moulding Date Block Subdivision Street__ .r IA ' 4- Q 4 Street_______!____ ' f- L,1 State work to be performed and purpose of building (By Floors New Building Remodeling — Addition Repairs. No. of Stories Main Sw Amps Main Fuses Amps Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h nderstands and accepts his . igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com fled General Laws of Florio' 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. ,G ( Signed) _ ( _ 7 ` !:._' Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. IT Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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. Application is hereby structure herein descri and all provisions of of Miami Shores Villag building during progress of Owner's Name and Address_____ 96 .f d MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT l' O t/ APPLICATION FOR ELECTRICAL PE I ,I ! 5 Date___ _'-_ - s' / C.. f the approval of the detailed statement of the plans and specifications her - ' th submitted for the building or other is application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division e complied with, whether herein 'specified or not. A copy of approved plans and specifications must be kept at work. --a ! / ( 1 c �`!�_ E_ C_a No —__ -- -_Street___ Registered Architect and /or Enginee Employing Electrician's Name__ No._ ___`� Location and Legal Description Lot__ Block Subdivision Street and Number where work is to be performed —No _ _ / cr__./41 • Street 6 - State work to be performed and purpose of building (By Floors )__ __________ New Building __________ ______— ____ _____ -- Remodeling-- _______ _____ ________— Addition__ Service Overhead Underground Size Feeders_ Conduit _______— Sw._ Type of Installation — Conduit — ____________Tubing___ _— B.X:L.— _________Metal Moulding_— _______ i.1 5 Repairs No. of Stories Amps.- - -- - -- — — -- -Main Fuses---_. ------- -- --- --Amps Amount of Permit $ / /_ (Sign �') ----- --- - -� • Electrical The undersigned applicant for this building permit does hereby certify that e un.erstands and accepts his obligations as an employer labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, an 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 p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ j only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. } Ss. (Signed)_ , __ 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 AAAMPS NO.. LAMPS REe OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CLIST LIST / .. _ / W / 6 L 7 I \i/ 1Q5 �I SD "1 5 if / 75_50 + 5O CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. 1)6h' S/ 0 -1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST 1 CHECK 00 it,, (j / a !�a/ SO 15 Permit No. Application is hereby structure herein descri and all provisions of of Miami Shores Villag building during progress of Owner's Name and Address_____ 96 .f d MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT l' O t/ APPLICATION FOR ELECTRICAL PE I ,I ! 5 Date___ _'-_ - s' / C.. f the approval of the detailed statement of the plans and specifications her - ' th submitted for the building or other is application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division e complied with, whether herein 'specified or not. A copy of approved plans and specifications must be kept at work. --a ! / ( 1 c �`!�_ E_ C_a No —__ -- -_Street___ Registered Architect and /or Enginee Employing Electrician's Name__ No._ ___`� Location and Legal Description Lot__ Block Subdivision Street and Number where work is to be performed —No _ _ / cr__./41 • Street 6 - State work to be performed and purpose of building (By Floors )__ __________ New Building __________ ______— ____ _____ -- Remodeling-- _______ _____ ________— Addition__ Service Overhead Underground Size Feeders_ Conduit _______— Sw._ Type of Installation — Conduit — ____________Tubing___ _— B.X:L.— _________Metal Moulding_— _______ i.1 5 Repairs No. of Stories Amps.- - -- - -- — — -- -Main Fuses---_. ------- -- --- --Amps Amount of Permit $ / /_ (Sign �') ----- --- - -� • Electrical The undersigned applicant for this building permit does hereby certify that e un.erstands and accepts his obligations as an employer labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, an 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 p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ j only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. } Ss. (Signed)_ , __ 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.