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PLUMBINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 10 -25 -99 Job Address 1270 N.E. 92nd Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee /Tenant Jocelyne Fisher Owner's Address 1270 N.E. 92nd Street, Miami, Fl 33138 Phone 305- 758 -6558 contractingco. Coastal Plumbing Co. of Miami Address 285 N.E. 185th Street, Miami, F1 33179 Qualifier Robert E. Brincefield ss# 263 _ 46 _ 3122 ph 305 -651 -4429 state # CFCO -19042 Municipal # 6264 Corrpetency # 6264 Ins. co. Collinsworth, Alter, et al. Architect/Engineer Add. Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL ' LUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Replace existing electric water heater Square Ft. Estimati Cost (value) $200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi • n and zoning. Furthermore, I authorize the Bove - -famed contractor to do the work stated. ir &- ge)-(Lej • 44..„. S r e of owner for ondo President Date Signsture of Contractor or Owner- der kt Notary as to Owner and/or e ondo President Date 10 -25 -99 My Commission Expires: • Patricia Stover 7.,r MY COMMISSION # CC839914 EXPIRES June 28, 2003 BONDED THRU TROY FAIN INSURANCE, INC �.pa Notary as to Contractor or 'Owner- Builder My Commission Expires: FEES: PERMIT ' v RADON C.C.F. 16 0 NOTARY Master Permit # BOND 10 -25 -99 Date •'" " " ""' Patricia Stover MY COMMISSION # CC839914 EXPIRES °aor1 June 28, 2003 BONDED THRU TROY FAINmsuRANCF.) C D t -25 -99 TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering Date Job Address Iaio k)E .ga.5-- Legal Description Owner / Lessee / Tenant _ o(7, 1 l.. R is Owner's Address Contracting Co. 0 [1 PluvnAhri Iu O r 9 Qualifier bOU 9 (G c ) Orr ss# Phone 1h'l -Ito? 1 y ()O1ay(o3 Ins.Co. q la1 - , Signature Date: 57$`97 Master Permit i 4 /0 / 37 Phone - 75q" 157 4 X0 -ez? Contractor or Owner- Builder Notary as to'Contri4 Owner-Builder My Commission- ;Exp'xreal2r..0L :,* :1A Q IN cc .1. • Electrical Engineering 12/03/93 12:20 MSU _ 001 ADDENDU TO BUILDING PERM APPLrCATION. , (AN APPLICATION FOR BUILDING PERHIT MUST ACCOtiPANY THIS ADDENDUM. IF A MASTER PERHIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT DE PRESENT ON SUBSEQUENT APPLICATIONS.) ITEM BATH 1 8IDET B 1SHIASHER DISPOSAL CRI EIM FOUNTAIN FLOOR t'RA IN CREASE TRAP I NTfRC>TDR LAVATORY IALIKRY TRAY CLOTHES aASIER SHAM St Kt( , POT/3 COIF. SINK, RESIDE70E S It , SLOP TOPORARY WATER CLOSET LRINAL WATER CLOSET INDIRECT WASTES WATER StPPLY TD: A/C LIN I F IRE SPR INKIER tEATER -WW INST. I LAWN SFR 1tELER -TELL SW 11411% POOL WAATER SERVICE SEWER CONNECTIONS UT ILITY -SETER UTILITY -WATER SEPTIC TANK RELAY MA 4' TILE/RES. PAM! & ABANDON SEPTIC TANS( SDAKAGE PIT CU. FT CATCH BASIN. DISCHARGE DOLESTIC wEU. AREA GRAIN ROOF INLET WELL SLIM WATER IfATER FIRE STMCPIPE POOL P IPING PLUMBING LA NN SPR I IIQER SYSTEM CMS RANI,'E IETER SET (6AS) GAS PIPIIC UNIT FEE I TEM SW1TCH OUTLETS L IGHT comas ELECTRICAL RECEPTACLES SERVICE TBPCtARY SERVICE SIZE IN AtfS SERVICE REPAIRACER CRAW APPL !AWE OUTLETS RAiGE TOP OVEN HATER HEATER 1OTCRS 0- 1 I MOTORS OVER 1- 3 If MOTORS OVER 3- 5 HP 1OTORS OVER S- 8 if MOTORS OVER 8- 10 HP MOTORS OVER 10. 25 IF MOTORS OVER 100 11P A/C W9011 AIR COO ItION(RS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORWE S SPECIAL Pt,UPOSE CUTLETS WAGE AL SIGN TIRES SIGN TRAMP CRLCRS SIGN TI1E CLOCK FIXTU ES ANTENNA TELEVISION OUTLETS VIOLATION RE I NSPECT ION UNIT FEE ITEM SPACE HEATERS CENTRAL A/C (III1C) A/C (CENTRAL) CLET WCRK REFRIGERATION PROCESS AND PREss PIPING tfrOERGRCLIHI TALCS ABOVE GROW TALKS U.F. PRESSLRE VESSELS STEAM BOILERS HOT WATER BOILERS I£CHAt1 I CAL VENTILATION TRAItSPCRT I NG / SSE!$L I ES ELEVATORS/ESCALATCRS FIRE SMOKER MQER SYSTEM MOTORS OVER 25-100 HP COOL 1 tO TIERS VIOLATION RE INSPECT ION MECHANICAL HEAT IM LIT FEE Permit No.... fJL. 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 Shares 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 Street. _- Registered Architect and /or Engineer l a is itrtB Plimaces Nano .,__. G �; $ 1" 4:1=SLLItelairlItE3.3 �`'i'- � �'�' �. � G� /4 I �,� N ilti,�, � 312.1.1: t... tree � Location and Legal Description Lot. Block__ Subdivision. _w Street and Number where work is to be performed —No f� 7 �' ,J 9 af-- Street_. State work to be performed and purpose of building (By Fl Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. My Commission Expires 7, D MIAMI SHORES VILLAGE PLUMBING INSPECTION I)EPARTMENT APPLICATION FOR PLUMBING PERMIT New Building ._..._ — ------------ - - - - -- Remodeling Addition„.l...:_.__. Repairs No. of Stories. ....... . Size Septic 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. (Signet,)_ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h3 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 ca 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 al 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. Notary Public, State of Florida 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 th 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, cc faulty materials and /oz workmenchip. CLOSETS TUBS BATH SHOWERS TORIES LAVA. SINKS SLOP SINKS LAUNDRY TUBS UCINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES LIST /J / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CL LICIT LIaT CHECK Permit No.... fJL. 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 Shares 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 Street. _- Registered Architect and /or Engineer l a is itrtB Plimaces Nano .,__. G �; $ 1" 4:1=SLLItelairlItE3.3 �`'i'- � �'�' �. � G� /4 I �,� N ilti,�, � 312.1.1: t... tree � Location and Legal Description Lot. Block__ Subdivision. _w Street and Number where work is to be performed —No f� 7 �' ,J 9 af-- Street_. State work to be performed and purpose of building (By Fl Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. My Commission Expires 7, D MIAMI SHORES VILLAGE PLUMBING INSPECTION I)EPARTMENT APPLICATION FOR PLUMBING PERMIT New Building ._..._ — ------------ - - - - -- Remodeling Addition„.l...:_.__. Repairs No. of Stories. ....... . Size Septic 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. (Signet,)_ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that h3 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 ca 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 al 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. Notary Public, State of Florida 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 th 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, cc faulty materials and /oz workmenchip. r i, BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA _ Date 19 _,. ELECTRICAL ❑ PLUMBING PERMIT N9 8099 Contractor's ROOFING ❑ License No. Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ Work to be performed under this Permit CONTRACTOR or BUILDER Subdi- vision Sq Ft Value of II Amount of 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 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. Signed • / ', . /._ ,". ,,4 (INSPECTOR) BY �'" s • J:' '� tr 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, drAings, 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. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 19 ❑ PERMIT N? 3979 Contractor s © License No. ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot II Description I B1 Address of Value of ll Amount of Building Project v— --- 11 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 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. 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 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. CONTRACTOR OR BUILDER J uuur vision BY AUTHORITY ABBQT PRINT Z --------- CLOrCTO BATH T U DS - - SHOWERS LAVA. TORIES SIN" SLOP SINKS LA U NOR Y Tu e a .. URINALS CATCH BASIN FLOOR DRAIN DRINK I NG FOUNT' NS TOTAL FIXTURES .... C . L.ILlY CHECK = ..-----...- ...... •-•= 1 " - -. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL ■• SPRKLR. SYSTEM SW I M G POOL .... COWER . LIST --....---- CHICK Lijt 240 Application is hereby mace for the approval of the detailed statement of th3 plans and specifications herewith submitted for the building or other ure hnein descrilred. This application is made in compliance and confoimity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of /Aim Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified coL not. A copy of approved plans and specifications must be kept at building during progress of work. DaLer's Name and Address John D Ma cdonal,d N . 1270 NE Brooks_ S2rinisler Co - 880 N.W. Registered Architect and/or Engineer Employing Plumber's Name csn and Legal Description _ BloT k_ cat and Number where work is to be performed—No 1 2 70 N .E 70iik to be performed and purpose of building (By Floors)__ . ikieve Building Zizo Septic Tank_.„._ Feet of Drain Tile. Nature of Water Supply: City—Well STATE 1XF FLORIDA, I COUNTY OF DADE. Remodeling Amount of Permit $ .-- - - ..... .. ....... - ___ I Plumbing Inspector. The undersigned applicant for this building permit does hereby certify thet he understands and accepts hi/ s . igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compilel General Laws of Florida Pe nanent 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 no s : or notices as are sssoc„ir3d by the Act. The undersigned agrees to employ only such sub-coniactors, on work o be formed un. - i is permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared MIAMI SHORES VILLAGE PLUMBING INSPECTICN DEPARTMENT APPLICATION FOR PLUMBING PERMIT Addition_ No. Street Repairs No. of Stories. Type of Tank_ Dist. Feet of Tank or Drain Mold from Well _Size of Soakage Pit Capacity Gals Street Date 4-4-63 Street 92nd St. 54th St. Subdivision 92nd St. to me well !mown, and who, being by me first duly sworn, upon oath deposes aid says that he is the oi the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts hazein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of 01.00 will be made when such re-inspecticz is made.necessary by improper notice for inspection, or faulty rzatarials and/or workmamhip. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA 1, ❑ ,. DATE / .r 195 PERMIT N9 3259 Contractor's License No. '✓ °> ' 4 ❑ Work to be perforned under this Permit .// 1 Bl. 1 1 St tbdi- ision - Vuxlue of Froject $ 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 descbed in the application herefor in strict compliance with all ordinances pertaining thereto and with the unde, standing 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 chc:nged 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 cr 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 k ork covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or spec: ications 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 ac ent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 8 , w Permit No Date � = /-/_--_% Application is hereby made for the approval of the detailed statement of tl 3 plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confoimity 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 o: not. A copy of approved plans and specifications must be kept at building during progress of work. `P \ 0 Owners Name and Address- -.4_ :� _- = ='.! _ — No._ z L% -_- - - -- -- Street Registered Architect and /or Engineer � -? _��l •/� : _' --- - - - - -_ Employing Plumber's Name < _ �;, > �� �S y ,.r../ () , �J St - Subdivision_ == = y Street and Number where work is to be performed —No % ' % r r",; �� [, a Street Location and Legal Description Lot__ State work to be performe8 4purpose of building (By Floors)_ New Building Remodeling_ _.____ Addition Repairs Size Septic Tank ___._____ Type of Tank Feet of Drain Tile._______ ________Dist. Feet of Tank or Drain Fiold from Well Nature of Water Supply.(City —Wei _ Size of Soakage Pit Amount of Permit $ - -_ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING !NSPECTIC N DEPARTMENT APPLICATION FOR PI UMBING PERMIT Bloc k_ ..°_ (Sigied) - - / 2 Capacity Gals 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 5968, 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 the Act. The undersigned agrees to employ only such sub- contractors, on work t be performed under this permit, as are licensed by Miami Shores Village. (Sigeed) - -- - s� - \ My Commission Expires Notary Public, State of Florida No. of Stories. er Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to ma 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 forego*; application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty Aerials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TU88 'n y'A. r ' ' CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS WA1s ,/Z . R., fl W, /Y )/�, 'pI]' 7 FIXTURES CONTR. LIST � ` G P u 8 CHECK ; c. , . ; � � ti , % e SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•G POOL - CoNTR. LIST 1 - ,.' CHECK Permit No Date � = /-/_--_% Application is hereby made for the approval of the detailed statement of tl 3 plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confoimity 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 o: not. A copy of approved plans and specifications must be kept at building during progress of work. `P \ 0 Owners Name and Address- -.4_ :� _- = ='.! _ — No._ z L% -_- - - -- -- Street Registered Architect and /or Engineer � -? _��l •/� : _' --- - - - - -_ Employing Plumber's Name < _ �;, > �� �S y ,.r../ () , �J St - Subdivision_ == = y Street and Number where work is to be performed —No % ' % r r",; �� [, a Street Location and Legal Description Lot__ State work to be performe8 4purpose of building (By Floors)_ New Building Remodeling_ _.____ Addition Repairs Size Septic Tank ___._____ Type of Tank Feet of Drain Tile._______ ________Dist. Feet of Tank or Drain Fiold from Well Nature of Water Supply.(City —Wei _ Size of Soakage Pit Amount of Permit $ - -_ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING !NSPECTIC N DEPARTMENT APPLICATION FOR PI UMBING PERMIT Bloc k_ ..°_ (Sigied) - - / 2 Capacity Gals 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 5968, 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 the Act. The undersigned agrees to employ only such sub- contractors, on work t be performed under this permit, as are licensed by Miami Shores Village. (Sigeed) - -- - s� - \ My Commission Expires Notary Public, State of Florida No. of Stories. er Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to ma 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 forego*; application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty Aerials and /or workmanship.