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Permit record from 1948BUILDING ELECTRICAL PLUMBING ROOFING 0 0 0 Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7346 Work to be performed under this Permit DATE _ — r — 19_ -- Contractors 4e, • License No, Architect Contractor or Builder Legal Lot Subdi- Description II Bl vision - Address of Value of II Amount of Building Project $ 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- 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 upoa 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 ti-e statements or specifications and that he asstmes respon- sibility for work done by his agents, servants or employees. Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances anti regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acs cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY A Glor BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building This permit is granted to tho contractor or buil er named ab e to construct the building or to install the equipment or device described in the appli- cation 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 respon- sibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 19 Contractoes License No. PERMIT N2 6317 Work to be performed under this Permit Bl. Subdi- vision Value of Project Amt. of Permit Signed r v F By INSPECTCR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regu ations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shpres In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY 4 AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date _ 19 PLUMBING En PERMIT N9 9580 Contractor's ROOFING ❑ License No. ❑ Work to be performed under this Permit Owner of '"' Building 1 ' r:.._. k � .. s i t t Architect Contractor or Builder ` ' ' , Legal Lot I 1 Description 11 B1. Address of Building CONTRACTOR or BUILDER Subdi- vision Sq. Ft. Value of H Amount of Project $ 1! 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- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an 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 respon sibility for work done by his agents, servants or employees. l r Signed • (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances .ind regulation pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Stores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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 o'` Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be krpt at building during progress of work. Cwner's Name and Address ___ —_:_ ____- _______ No ,. Street Registered Architect and /or Engineer Employing Plumber's Name 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 Addition Repairs No. of Stories Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss' s i --- -- No'- _ (Signed) (Signed Street Street Size Septic Tank_— __ —__— _ _ _ Type of Tank . Capacity Gals Feet of Drain ___________ Dist. Feet of Tank or Drain Field from _— Nature of Water Supply: City —Well _ ,.`_.Size of Soakage Pit.____— _________— ____ ^_ My Commission Expires Notary Public. State of Florida Plumbing 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 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 Plumber. 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. CLOSETS BATH TUES SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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 o'` Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be krpt at building during progress of work. Cwner's Name and Address ___ —_:_ ____- _______ No ,. Street Registered Architect and /or Engineer Employing Plumber's Name 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 Addition Repairs No. of Stories Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss' s i --- -- No'- _ (Signed) (Signed Street Street Size Septic Tank_— __ —__— _ _ _ Type of Tank . Capacity Gals Feet of Drain ___________ Dist. Feet of Tank or Drain Field from _— Nature of Water Supply: City —Well _ ,.`_.Size of Soakage Pit.____— _________— ____ ^_ My Commission Expires Notary Public. State of Florida Plumbing 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 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 Plumber. 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. Date s>44.:* _ 1 - f 1ppiica,ion is hereby made for the approval of the detailed statement of the plans and specified ions herewith sphii bird for the building or other structure herein described. This application is made in compliance and conformity w4h the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the Siatc of Florida, all ordinances of Miami Shores \ ill:Ipc ar:d all rules ,n di regulations of the Building Division of :Miami Shores Village shall he complied with, whether herein specified o: not. A copy of ap)roved plans add specifications must he kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer. Employing Plumber's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No._ State work to he performed and purpose of building (By Floors) New Building Remodeling Addition CONTR. LIST CHECK CONTR. LIST CHECK ATH CLOSETS I TUGS SHOWERSI TORIES ES SINKS SEPTIC TANK SEWER CONN. Size Septic Tank _ -_- beet of Drain Tile Nature of Water Supply: City —Nell. _ STATE OF FLORIDA, COUNTY OF DADE. PLUMBING INSPECTION DEPARTMENT if APPLICATION FOR PLUMBING PERMIT s s, DRAIN SOAKAGE GREASE FIELD PIT TRAP MIAMI SHORES VILLAGE S LOP SINKS SOLAR HEATER LA TUBS RY UND URINALS No. DEEP SI-RKLR. SWI`.i'G WELL SYSTFM , POOL. _. Type of Tanlc__ Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Amount of Permit $ :/ - (Signed) Signed) Repairs No. of Stories TOTAL ,J FIXTUF'ES r _ CATCH FLOOR CHINKING EIALIN DRAIN -OJNT'N'_; o ; __ Street - Street _ s J / Street __ / C• Subdivision . Capacity Gals.. 1/ My Cou Expires Notary Public, State of Florida Phi nbing 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 Central Laws of :Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contraciors c;; sub- contractors t Ipio by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wort: sue) public uriice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work ty be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the under ed ai ority, a notary public, duly authori. cd to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by inc first duly sworn, upon oath deposes and say; that he is the of the above described construction, that he has carefully read the foregoing application, and t ;at he did sign the sane, and that all facts therein by biro stated are true. NOTE: A re- inspection he 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 Lot Description Address of Building i 1 MIAMI SHORES VILLAGE, FLORIDA DATA' PERMIT IT? 11445 Work to be performed under this Permit Bl. Subdi- vision Contractor's License No . q' Value of Amt, of t � / � ,% Project $ /— Permit $ .""""'*'■" This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device de(cnbed 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 drawi the statements otispecifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • i 4= BY s 4' INSPE R 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 res onsibility for all work dorg by either, myself,, thy agent, servan employee. CONT OR. BUILDER. , �.jj • ,f B ,�+ AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3354 Work to be performed under this Permit Bl. 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 specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula -„ tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. AUTHORITY Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name.- Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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, 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 complie with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No No _Block Street__ Street 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 Size Septic Tank Type of Tank Feet of Drain Tile__— __________ ___ —_____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__ Size of Soakage Pit Amount of Permit $---- - - - - -- Plumbing 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 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 cm 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. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires - - - -- — (Signed) (Signed) _Capacity Gals Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer ox:hs 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. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name.- Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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, 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 complie with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No No _Block Street__ Street 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 Size Septic Tank Type of Tank Feet of Drain Tile__— __________ ___ —_____ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.__ Size of Soakage Pit Amount of Permit $---- - - - - -- Plumbing 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 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 cm 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. STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires - - - -- — (Signed) (Signed) _Capacity Gals Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer ox:hs 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 $1.00 will be made when such re - inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Owners Name and Address---__- - Registered Architect and /or Engineer__ Employing Plumber's N Location and Legal Description NOnlet0 Oa ©L S VOLL4 G PLUMBONG O 1SPECTION DEPARTMENT aP H, CATCDo Rl FOC3 f d JM NO PERM' ' Permit No. /3 9S Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Block Street and Number where work is to be performed —No 1.-// State work to be performed and purpose of building (By Floors) New Building------ _--- _-- _--- _--- .- ____ -- Remodeling _ —__ Addition Size Septic Tank_ �`Zro Feet of Drain Tile./.0_e_ __ - -.- - -•_ -- No._ ,� �__ _"_ __ Street. __- -.. Ivo$C Nova i2- - - - - -- Street -2 Subdivisi Street 97 Repairs___ No. of Stories..... ....... —.- _ -.Type of Tank-_ -_- Capacity Gals _Dist. Feet of Tank Drain Field from Well Nature of Water Supply: ... of Soakage Pit Amount of Permit 0 _ ___ -___ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi . ' igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 flee Act. The undersigned agrees to employ only such sub- contractors, on work to be performed yn4ep'/this permit, as are licensed by Mimi Shwas Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed)_ My Commission Expires Notary Public, State of Florida Master Plumber. 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 $1.00 will °.- made wham au B: re-inspection is made•neoessary by improper notics for insr '►, or faulty materials and /or worlmnanship. CLOSETS BATH TUBS SHOWERS SHO LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTD. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Owners Name and Address---__- - Registered Architect and /or Engineer__ Employing Plumber's N Location and Legal Description NOnlet0 Oa ©L S VOLL4 G PLUMBONG O 1SPECTION DEPARTMENT aP H, CATCDo Rl FOC3 f d JM NO PERM' ' Permit No. /3 9S Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Block Street and Number where work is to be performed —No 1.-// State work to be performed and purpose of building (By Floors) New Building------ _--- _-- _--- _--- .- ____ -- Remodeling _ —__ Addition Size Septic Tank_ �`Zro Feet of Drain Tile./.0_e_ __ - -.- - -•_ -- No._ ,� �__ _"_ __ Street. __- -.. Ivo$C Nova i2- - - - - -- Street -2 Subdivisi Street 97 Repairs___ No. of Stories..... ....... —.- _ -.Type of Tank-_ -_- Capacity Gals _Dist. Feet of Tank Drain Field from Well Nature of Water Supply: ... of Soakage Pit Amount of Permit 0 _ ___ -___ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi . ' igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent 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 flee Act. The undersigned agrees to employ only such sub- contractors, on work to be performed yn4ep'/this permit, as are licensed by Mimi Shwas Village. STATE OF FLORIDA, COUNTY OF DADE. (Signed)_ My Commission Expires Notary Public, State of Florida Master Plumber. 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 °.- made wham au B: re-inspection is made•neoessary by improper notics for insr '►, or faulty materials and /or worlmnanship. 5 -' . / ( I [LLL1 // `