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1050 NE 91 Terr (15)BUILDING ELECTRICAL PLUMBING ROOFING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA EJ ❑ DATE PERMIT N? 7359 Contractor's License No. ❑ Work to be performed under this Permit Owner of Building Archi tect Contractor or Builder Legal Lot � Description 1 Bl. Address of Building Subdi- vision Value of II Amount of Project $ Permit $ 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device des :ribed 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 bo 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 u . son 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 regulation:; pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mini Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTEORITY PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 11- IS Job Address 1D50 iE 1► Te r r. Tax Folio Legal Description " l � 01r l 9 11 K a Historically Designated: Yes No 6Vbdld , P a.* P, 4 Iztb . MI Owner/Lessee / Tenant (� (°. e 2 2-0S Master Permit # 1 /3 7 ,3 Phone 365 3 bl ° 9 ? ,i Address � n;m3g -hi ` r/b - Owner's Address / 0 5 - 0 AV, Contractin co. Recker- Qualifier x ///70,6 ? Z -eRr Permit Type (circle one): BUILDING ELECTRICA Square Ft. �Od lr.Ai r N. ary as to Own =' sf ` ' ' °` d'sident; Date y Corri sipw , � ; > La fir CwC: :ZN ��.y r FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing F' - Phone Tre/',' State # 54- OC 0 7/ G Municipal # ti; cO ` Competency # �s. Co. f/�� /. � /.a/, Architect/Engineer /'i — Address �✓1�✓ Bonding Company ,A✓l - Address X/1 Mortgagor Address / UMBIN MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ' /4-&-/' i� ..c /#i laJ 1 C - :2 / d6 Estimated Cost (value) WARNING ¶'O OWNER: Y(I' MUS'II' REC RD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. hIi4.44I/il/ / w i/Gdt[i��i�sOf rm f s Si owner -and/or Co do President Date 6 2 --P/3 m /77 -0 ignature of Contract Owner- Builder Date cseAid 0 ct-e. Notary as to Contractor or Owner - Builder My Commission Expires: MY COMMISSION !J CC492424 EXPIRES �; August 29, 1999 Pf,t1 souDED 'mu TROY FAIN INSURANCE, INC. Barkra L. I'ktotca Phf/f 7 Date RADON C.C.F. / p NOTARY "� BOND _:? Electrical TOTAL DUES Engineering Permit No. Employing Plumber's Name 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 e _�� --------------- _ - __ -- No._ Registered Architect and /or Engine MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ";voiViIT Street_ - Location and Legal Description Lot_.. _- __ ......... __________ — Block_ 7 .S _. -._ Subdivision ------------.._._._--------- Street and Number where work is to be erformed- No_ - $ 2 Z �. rl� P �'- t�et_.. --- State work to be performedd and purpose of building (By Floors) New Building Remodeling___ -- ---- -___ -- Addition- - -__ -- Repairs No. of Stories . . . ................ ...... Sires Septic Tit.. - � TY e Tank A O Feet of Drain Tile Nature of Water Supply: _Dist. Feet of T:. . Drain Field from Well., 1 . Cit Well. Soakage t PP Y' Y- Amount of Permit $___ _ ...... - - - - -- _— __.____ -- - — (Signed) Capacity Gals Date Street - -- ~ - - - My Commission Expires Notary Public, State of Floreda Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his,6'bligations 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 h:m 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 requires" by tie 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. (1) (Signed) - -- ` Master Plumber. STATE OF FLORIDA, I es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made' necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWER! LAVA TORIES SINKS SLOP $INKS LAUNDRY TUBE URINALS CATCH B ASIN FLOOR DRAIN DRINKING FOUNT' TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR Hr4TER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST / ,G --- Permit No. Employing Plumber's Name 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 e _�� --------------- _ - __ -- No._ Registered Architect and /or Engine MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ";voiViIT Street_ - Location and Legal Description Lot_.. _- __ ......... __________ — Block_ 7 .S _. -._ Subdivision ------------.._._._--------- Street and Number where work is to be erformed- No_ - $ 2 Z �. rl� P �'- t�et_.. --- State work to be performedd and purpose of building (By Floors) New Building Remodeling___ -- ---- -___ -- Addition- - -__ -- Repairs No. of Stories . . . ................ ...... Sires Septic Tit.. - � TY e Tank A O Feet of Drain Tile Nature of Water Supply: _Dist. Feet of T:. . Drain Field from Well., 1 . Cit Well. Soakage t PP Y' Y- Amount of Permit $___ _ ...... - - - - -- _— __.____ -- - — (Signed) Capacity Gals Date Street - -- ~ - - - My Commission Expires Notary Public, State of Floreda Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his,6'bligations 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 h:m 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 requires" by tie 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. (1) (Signed) - -- ` Master Plumber. STATE OF FLORIDA, I es. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made' necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit N® f : /9 .5 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 cf 'Mimi Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ;ridding during progress of work. Ofs Name and Address _ - _� No.__ /° `�`� W eet �� - n Registered Architect and /or Engineer_______— ______________ _-- .____.._ Employing Plumber's Name.__ �� Q No._.___ / _ Sti e! Location and and Legal Description Lot---------- ___ _ -- z Block • d- Subdivision. -- - ____ -- --- _-- _- . Street and Number where work is to be performed —No / 5 — 1 5 Al a, ,?/ /- -e Street State work to be performed and purpose of building (By Floors)_ ----- - - - - -- New Building__________ --- Remodeling_ _.. __ —__ Addition..- -__ Repairs Size Septic Tank..- •- ___ - -- _.- ___ - -- ._Type of Tank Capacity Gals Feet of Drain Tile_ ------------------- •----- - - - - -- --Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ell.__- -- _---------- ____ -_ ____ Size of Soakage Pit Amount of Permit $ �y Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts l obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supp' 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 notce 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. STATE OF FLORIDA, p COUNTY OF DADE. j ( Signed) Before ma, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well Town, 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. My Commission Expires Notary Public, State cf Florida No. of Stories. 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 B ATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS 14.Y/ ( /� T TOTAL fi r✓ / 7� FIXTURES C Li ffl -- CNECx - _' -- SEFTIC YANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHRCK ^-- - ,__ - - -- - MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit N® f : /9 .5 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 cf 'Mimi Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ;ridding during progress of work. Ofs Name and Address _ - _� No.__ /° `�`� W eet �� - n Registered Architect and /or Engineer_______— ______________ _-- .____.._ Employing Plumber's Name.__ �� Q No._.___ / _ Sti e! Location and and Legal Description Lot---------- ___ _ -- z Block • d- Subdivision. -- - ____ -- --- _-- _- . Street and Number where work is to be performed —No / 5 — 1 5 Al a, ,?/ /- -e Street State work to be performed and purpose of building (By Floors)_ ----- - - - - -- New Building__________ --- Remodeling_ _.. __ —__ Addition..- -__ Repairs Size Septic Tank..- •- ___ - -- _.- ___ - -- ._Type of Tank Capacity Gals Feet of Drain Tile_ ------------------- •----- - - - - -- --Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: ell.__- -- _---------- ____ -_ ____ Size of Soakage Pit Amount of Permit $ �y Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts l obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supp' 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 notce 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. STATE OF FLORIDA, p COUNTY OF DADE. j ( Signed) Before ma, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well Town, 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. My Commission Expires Notary Public, State cf Florida No. of Stories. 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 Septic Tank Plumbing Interceptor Bldg. PET. Soakage Pit Well OWNER Lay. COi TENT: Zone DADE COUNTY ZO1'IivrG & BUILDING DEPART1 ENT DIVISION OF PLIT1 3TNG INSPiCTION 195 Tub Shower Sink Water Closet Urinal Laundry Tray Floor Drain Slop Sink Washer Dishwasher Drinking Fount. Disposal Safe Wastes Pot Sink Total Fixtures CLERK Subd. Address of Job Plumbing Installed by Lot Septic Tank Installed by Block Interceptor Installed by Well Installed by H.P. Size of Tank Soakage Pit Installed by BUILDING HAS: Stores Offices _Apts. USE OF BUILDING Signed Contractor Water Service Elec -Gas Heater Sewer Block Drain Gr...Int. Gas Outlets Swim ing Pool Roof Dr. Area Drains FRE Inspector _Motel Rooms Bed Rooms INSP. DATE Interceptors Rough Gas Final Gas Ground Rough Shower Pan House Sewer Area Drains Final Plumb. Map No. Mechanical Plan (othersido) t BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 7350 Work to be performed under this Permit B1 DATE 195 Contractor's License No. Subdi- vision Value of Project $ Amount 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 bo 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 orc.inancos 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 AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N9 7 8 9 2 Contractor's License No ' ROOFING ❑ ❑ Work to be performed under this Permit_ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. Subdi- vision 3q. Ft Value of Project $ 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 di scribed in the application berefor 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 Permi': 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 01 dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assur is 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities o Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTH DUTY New Building 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. Otiwner's Name and Address Registered Architect and /or Engineer . —_ � ____�___ y Employing Plumber's Name V'� il_� -_`_re lel__I ` �_2__ _ � 0 .__1 � ® s� — Street �_�9�� d. �`�_ d �� Location and Legal Description Lot_ Block- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)._ Size Septic Tank _ Type of Tank _ Capacity Gals Feet of Drain Tile.— _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—V _..Size of Soakage Pit - - - - - -- _ _ -- -- o Amount of Permit $ Remodeling 9AMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN':" PPLICATION FOR PLUMBING C1 No. -1 0 _ -e__ Street E Addition._______._ Repairs No. of Stories_ ... ............. (Signed)._ Street Date i p - 7 - Subdivision. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per anent Supplement, and bus cm- 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lioenzeol by Miami Shores Village. ' C� r - iyy ,ii cf 5, f' j (Signed). - -- G '_ Master Plumber. STATE OF FLORIDA, I COUNTY ®F DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida r Plumbing Inspector. 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 TUBE S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. LIST CMIT.Ctt SEPTIC TANK SEWER CONK. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CNC= New Building 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. Otiwner's Name and Address Registered Architect and /or Engineer . —_ � ____�___ y Employing Plumber's Name V'� il_� -_`_re lel__I ` �_2__ _ � 0 .__1 � ® s� — Street �_�9�� d. �`�_ d �� Location and Legal Description Lot_ Block- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)._ Size Septic Tank _ Type of Tank _ Capacity Gals Feet of Drain Tile.— _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—V _..Size of Soakage Pit - - - - - -- _ _ -- -- o Amount of Permit $ Remodeling 9AMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN':" PPLICATION FOR PLUMBING C1 No. -1 0 _ -e__ Street E Addition._______._ Repairs No. of Stories_ ... ............. (Signed)._ Street Date i p - 7 - Subdivision. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per anent Supplement, and bus cm- 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 die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lioenzeol by Miami Shores Village. ' C� r - iyy ,ii cf 5, f' j (Signed). - -- G '_ Master Plumber. STATE OF FLORIDA, I COUNTY ®F DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida r Plumbing Inspector. 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.