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PLUMBINGPermit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. A /� Owner's Name and Address fie ` 2 No _g_0 2 S t r e e t _ . . I t L E 9 3 S Registered Architect and /or Engineer Employing Plumber's Nerve A�trl � Location and Legal Description Lot._ Block Subdivision._.__ Street and Number where work is to be performed —No Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well. State work to be performed) and purpose of building (By Floors)____ ,! Remodeling Addition.. ____.._ ... Repairs. No. of Stories New Building .__.._._.__.._...-- ... - -• -- g— _._..._.._....— epairs. . .... Amount of Permit $ City Gale Type of Tan r)ist. Feet of Tank or Drain Field from Size of Soakage Pit. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations • employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent Su • ement, 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 licensed by Miami Shores Village. required by the Act. The undersigned agrees to employ only such sub - contractors, to be ' under this permit, as are d, STATE OF FLORIDA, f a~ 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 be 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 whoa aueb miupeotfine i. made•rMarary by improper notice for impaction, or faulty materials and/or workmanship. CLOSrt. BATH Tung jNOWIRS LAVA. TORIES jINK• SLOP SINKS LAUNDRY Tug• URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT N• TOTAL PI CONTR. LIST CHICK SEPTIC TANK SIWLR CONN. DRAIN FIELD SOAKAGI PIT GRIAU TRAP SOLAR PI SATIN DEEP WILL SPRKLR. SYSTEM SW IM'O POOL Corms. LIST CHICK Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. A /� Owner's Name and Address fie ` 2 No _g_0 2 S t r e e t _ . . I t L E 9 3 S Registered Architect and /or Engineer Employing Plumber's Nerve A�trl � Location and Legal Description Lot._ Block Subdivision._.__ Street and Number where work is to be performed —No Size Septic Tank__ Feet of Drain Tile Nature of Water Supply: City—Well. State work to be performed) and purpose of building (By Floors)____ ,! Remodeling Addition.. ____.._ ... Repairs. No. of Stories New Building .__.._._.__.._...-- ... - -• -- g— _._..._.._....— epairs. . .... Amount of Permit $ City Gale Type of Tan r)ist. Feet of Tank or Drain Field from Size of Soakage Pit. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations • employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennanent Su • ement, 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 licensed by Miami Shores Village. required by the Act. The undersigned agrees to employ only such sub - contractors, to be ' under this permit, as are d, STATE OF FLORIDA, f a~ 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 be 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 $1.00 will be made whoa aueb miupeotfine i. made•rMarary by improper notice for impaction, or faulty materials and/or workmanship. .111./.• CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT 'NS /16,,,... /4 A l" TOTAL FIXTURES CONTR. LIST S / l f CHECK ........ /- 7 5► '" ) SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G/41;4•7$ POOL R c /' 4i CONTR. LIST CHECK Permit No 1. ' • 4 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEN APPLICATION FOR PLUMBING PE ` 00 /So /z5 r • Da t t f7;+. �`-- / g �~ A Application is hereby made for the approval of the detailed statement of the plans. and specifications r ilf'tnbmitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Or finance 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. q 4 Owner's Name and Address e "�''L - �° ' ' No Street Registered Architect and /or Engineer Employing Plumber's Name � �- �" Location and Legal Description Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) t I'_ New Building Remodeling Addition No (- I g L Street___ J Block Subdivision e Street Repairs No. of Stories___.p Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field fr ell_ Nature of Water Suppl:'City -Well Size of So. Pit Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. The undersigned applicant for this building permit does hereby certify that he u . erstands and accepts his obliga ons as an emplo -r of labor under the Florida Workmen's Compensation Act, being-Section 5966, Compiled Ge - eral Laws of Florida Permanent Supplement, a v has com- plied with the provisions thereof, and will require similar comp i. . tractors or sub - contractors employed by him in th 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 n tices 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. ( 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 be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUSINESS ADDRESS TRADE NAME Roselle Leo Plumbin CORP. NAME MAILING ADDRESS CITY STATE ZIP MUNICIPAL CONTRACTOR'S OCCUPATIONAL LICENSE OCT. 1ST 1 1 SEPT. 30 1972 41569 5 DUE EXPIRES THIS LICENSE VALID ONLY IN IPA t,• p LISTED BELOW: THIS LICENSE ISSUED IN PURSUANCE OF METROPOLITAN DADE COUNTY ORDINANCE - 66.2 MUNIC r -r> k r 1Gt�JST REGISTER . k r � ." '". i fih IN ORK IS DONE VA t. tt ;'..O COM ET C Y Y.r gr U. i? ti' 2501 NW ?9 St Miami F1 33177 IS HEREBY LICENSED AND AUTHORIZED TO DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. * * * *pd L21625 10/19/71 200.00 * ** AMOUNT 200 ..00 AMYL CATEGORIES • 200.00 TOTAL AMOUNT PAYMENT RECEIVED AS CERTIFIED ABOVE - DADE COUNTY TAX COLLECTOR. MIAMI. FLORIDA BAL HARBOUR BAY HARBOR ISLANDS BISCAYNE PARK CORAL GABLES EL PORTAL FLORIDA CITY HIALEAH GARDENS ISLANDIA MIAMI MIAMI BEACH MIAMI SHORES NORTH BAY VILLAGE NORTH MIAMI NORTH MIAMI BEACH OPA LOCK PENNSUCO SOUTH MIAMI SURFSIDE SWEETWATER VIRGINIA GARDENS WEST MIAMI • THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTINO MACHINE SHOWING NUMBER - DATE - AMOUNT PAID This is to certify that LEO ROSSELLE PLUMB?. 1Z INC.. .,, • CEITRACTOk'S (ALIOIT NUMBER , CERTIFICATE OF COMPETENO' — BUSINESS • METROPOLITAN DADE COUNTY 377 7/ Fog, 12.3.01.16 REV. 1971 (501,E PROPRIETOR 0. PARTNERSHIP 0, FIRM 0. OR CORPORATIONt) having met the requirements under Chapter 10, Code of Metropolitan done under the direct supervision and control of the following named qualifying agent: NAME: H. L. ROSSELLE. JR. TYPE NAME OF BUSINESS ORGANIZATION AND MAIL TO BUSINESS ADDRESS LEO ROSSELLE PLUY,BING, INC. 2501 N.J14.79 Street . Miami, Fla. 33147 CONT CUPY •• CONTRACTOR'S 1111 Nt 5 1 ,N ,-- UM firl BER 40,n- .A. D 10.00 2301 PLUMB I Na ti - 5 7 7 C. 0 3 •Th A , 1 0 .00 Dade County, as amended, is hereby certified AS A CONTRACTOR, with oil work to be , ADDRESS: 1210 N E. 82 Street, nand., Fla. (0prou.,...) 33.3d • This certificate is valid on a countywide basis in theUnincorporated Areas and in all Dodo County Municipalities. Th• qualifying agent and organization listed herein have been duly qualified by the Construction Trades Qualifying Board. This certificate becomes null and void ot such time as the qualifying agent named herein is no longer associated with the , a)overriamed '•organization. /, _ .1.• TiLitS C E R.TIF / IC AT / ? E IS .GOOD UNTIL SEPTEMBER 30, 1973 la . '''':. • (Secraory,Construction Board) (Chairman Construction Trades Qualifying Boord) /ORM 123.01 -13 REV. 1071 OVC' t 0111:�Ul.bdti9 ∎ .0 (AUDI r NUMBER) CERTIFICATE OF COMPETENCY — BUSINESS METROPOLITAN DADE COUNTY This is to certify that LEO ROSSELLE PLUMBING, INC. (SOLE RROPPIETOR 0, PARTNERSHIP ❑, FIRM 0, On CORPORATION a) having met the requirements under Chapter 10, Code of Metropolitan HEATING I( Dade County, as emended, is hereby certified AS A PRESSURE & PR ES done under the direct supervision and control of the following named qualifying agent: NAME: HIRAM L. ROSSELLE JR TYPE NAME OF BUSINESS ORGANIZATION AND MAIL TO BUSINESS ADDRESS LEO ROSSELLE PLUMBING, INC. 2501 NOE 79 ST.. • Irlitiva,FLA. 33147 CONTRAC 9RjC 6 C CCNr A 280Y N UME3ER ( Pf1TG 6 !S 2 4 ADDRESS• (OF QUALIFIER) �--. 0.00 CONTRACTOR,.with all work to be 1210 1T -E - RP Sr. This certificate is valid on a countywide basis in the Unincorporated Areas and in all Dade County Municipalities. The qualifying agent and organization listed herein have been duly qualified by the Construction Trades Qualifying Board. This certificate becomes null and void at such time as the qualifying agent named herein is no longer associated with the above namod grganization. FR'T THIS C FICAT I IS G00D UNTIL EPTEMBER 30, 1973 t/ ih _. . `::xs•a !.:•",:t' A . � (Secret ry Const radp 0 'lifying Board) cc rmBn Co r1'struct4n aes uaIifying Board) . 0.00 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Pi 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 herds specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ' I �� �° ' ^� �J / Owner's Name and Address F1LL- --7.1 - -.1 . _A No._' 2 4 � !� Street ..rG .... -- F ..._.. 3 S T Registered Architect and /or Engineer f Employ ing Plumber's Name d-- ® �R f� L � r .P0....m.,.....: street Al,LkiriT .S Location and Legal Description Lot. Block Subdiv1son.._- .._-- _ -__ -._ Sr Street and Number where work is to be performed —No . 1), 0 Street., .g..__.._77 3 ° ____ State work to be performed and purpose of building (By F1ocp)__._-_ -. 71 . .12 0 9 « /11...-S . L- 0. New Building..- •-- .----- •- ... ............... Remodeling__ -- -_ Addition.. - - - -_ Repairs No. of Stories.............. Amount of Permit S STATE OF FLORIDA, b COUNTY OF DADE. $s. ®c 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 Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. s :: an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent a ..plement, 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 undersigned agrees to employ only such sub - contractors, on work, to be _perfo . ed under this permit, a are licensed by Miami Shores Village. d 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 NOTE: A re- inspection fee of ;1.00 will be made when ouch re-lnepeotion is misde by improper notice for inspection, or faulty materials and /or workmanship. CLOSE TS BATH TuBe SHOW[R• LAVA. TORIES SINKS SLOP SINKS LAUNDRY T ugs URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES (. / ' — LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAOI PIT GREASE' TRAP SOLAR H EATER DIIP WELL SPRKLR. SYSTEM 6WIM'0 POOL CONTR. LIST CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No Pi 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 herds specified or not. A copy of approved plans and specifications must be kept at building during progress of work. ' I �� �° ' ^� �J / Owner's Name and Address F1LL- --7.1 - -.1 . _A No._' 2 4 � !� Street ..rG .... -- F ..._.. 3 S T Registered Architect and /or Engineer f Employ ing Plumber's Name d-- ® �R f� L � r .P0....m.,.....: street Al,LkiriT .S Location and Legal Description Lot. Block Subdiv1son.._- .._-- _ -__ -._ Sr Street and Number where work is to be performed —No . 1), 0 Street., .g..__.._77 3 ° ____ State work to be performed and purpose of building (By F1ocp)__._-_ -. 71 . .12 0 9 « /11...-S . L- 0. New Building..- •-- .----- •- ... ............... Remodeling__ -- -_ Addition.. - - - -_ Repairs No. of Stories.............. Amount of Permit S STATE OF FLORIDA, b COUNTY OF DADE. $s. ®c 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 Capacity Gals The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati. s :: an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent a ..plement, 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 undersigned agrees to employ only such sub - contractors, on work, to be _perfo . ed under this permit, a are licensed by Miami Shores Village. d 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 NOTE: A re- inspection fee of ;1.00 will be made when ouch re-lnepeotion is misde by improper notice for inspection, or faulty materials and /or workmanship. Permit No. ( _ 7 __1 1 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address ,l-_ d Registered Architect and /or Engineer_.__.___._______ Employing Plumber's Name_ Amount of Permit $ STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. - -- Z - - -____ Street- ✓� Location and Legal Description ' 1' ot..- _-- ..._.- _ ........... _- ..... _._ _ Block_.___ __... Subdivision Street and Number where work is to be performed —No ,L %% __ /' ' . J State work to be performed and purpose of building (By Floors)_ New Building emodeli3r _ Addition___. .............. Repairs No. of Stories ( Signed) Street Date /0 _ �� 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 • 1x ( 4 - .1 4 - " - i Capacity Gals. (Signed) - ll�Z.p My Conunission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and : cepts I's obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Fl • • 'errnanent 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 undersigned 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 appeare 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 fat. 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 foul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUSK URINALS INAL CATCH BASIN FLOOR DRAIN OR INKING FOUNT'NS TOTAL FIXTURE! comm. LIST -- -.- CHECK / D O SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST / - / CHECK ` b-3 / ®‘'' Permit No. ( _ 7 __1 1 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address ,l-_ d Registered Architect and /or Engineer_.__.___._______ Employing Plumber's Name_ Amount of Permit $ STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No. - -- Z - - -____ Street- ✓� Location and Legal Description ' 1' ot..- _-- ..._.- _ ........... _- ..... _._ _ Block_.___ __... Subdivision Street and Number where work is to be performed —No ,L %% __ /' ' . J State work to be performed and purpose of building (By Floors)_ New Building emodeli3r _ Addition___. .............. Repairs No. of Stories ( Signed) Street Date /0 _ �� 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 • 1x ( 4 - .1 4 - " - i Capacity Gals. (Signed) - ll�Z.p My Conunission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and : cepts I's obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Fl • • 'errnanent 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 undersigned 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 appeare 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 fat. 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 foul materials and /or workmanship. 'Subdi- vision Value of Project t construct the bui ith the unders a d approved • • th e ans are ch ged e a umes the #012stAi BUILDING ❑ ELECTRICAL ❑ PERMIT 'N? 11865 PLUMBING t ROOFING Cl Work to be,pformed udder this Permit Owner of Building Architect Contractor or Buil Legal Description Address of Building C Bl. This permit is granted to the contractor ofbuilder named above herefor in strict compliance with all ordinances pertaining thereto and drawings, statements or specifications that may have been submitted time if the work is not done in compliance with such ordinances or if tti granted is the understanding that the contractor or builder named above to the work covered hereby whether shown on the plans o done by his agents, servants or employees. In consideration of the issua pertainin• . in strict co In a r a fs .ermit I assum to me of this purity ith the reap ility for RACTO OR BUILD % MIAMI SHORES VILLAGE, FLORIDA Signed• DAT Contractor's License No Amt. of Permit $ g or to install the equipment or device described in the ap• ' .tion g that the work will be performed in compliance with any p proper municipal authorities. This Permit may be revoked at any ithout authorization. A further condition upon which this permit is nsibility for a thorough knowledge of the ordinances and regulations e statements or spec'fic.tio.. and that he assumes respo..'bility for work SPECTOR rmit I agree • . erform the work covered hereunder in compliance ith all ordinance and regulations ns, dr . f tements or specifica '.ns submitted to the proper thorities of Mia. ' Shores Village. 11 work .. ne by either, myself, my v: nt, se : nt or employee. �ig AUTHORITY 195