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87 NE 92 St (2)04:LCag.e og Miami. 5ho'e& xxtempootow DADE COUNTY, FLORIDA DIVISION OF PLUM ING INSPECTION P-((3 ILDING PERMIT NO. PLUMBING 3—(7_7 PERMIT NO. TYPE i NUMBER RGH SET FEE BATH TUB i Contractor Phone 0 i Neat &Loc% & Septic 7avik Co. 635 -6 BIDET , DISHWASHER l Contractor's Address 1368 Al. (v. 29th Vaee't DISPOSAL 1 DRINKING FOUNTAIN Owner's Name Phone KKiatt Job Address 87 Al. C. 92vu1 5taee -t FLOOR DRAIN k j GREASE TRAP INTERCEPTOR LAVATORY Lot Block Subdivision LAUNDRY TRAY J CLOTHES WASHER I I Present or Proposed Use of Building lea SHOWER I I SINK, POT /3 -COMP. , - I 1 Old New No. of Bedrooms SINK RESIDENCE ! SINK, SLOP ) Applica ion is hereby made to obtain o permit to do the work and installo- tions as hereon indicated. I certify that no work or installation has been effected prior to the issuance of said permit and that all work will be per - formed to m/ the standards of all laws regulating construction in Dodo Count / , TEMPORARY WATER CLOSET URINAL 1 WATER CLOSET INDIRECT WASTES —1 Signature of Master Plumber or • ner WATER SUPPLY TO: —I AIR CONDITIONING UNIT FIRE SPRINKLER HEATER,— NEW INSTALLATION HEATER - REPLACE LAWN SPRINKLER - WELL SWIMMING POOL - WELL WATER SERVICE PLUMBING INSPECTIONS SEWER CONNECTIONS GROUND UTILITY — SEWER ROUGH 1 UTILITY — WATER TUB & WATER PIPE SEPTIC TANK RE LAY 32 ' 4.00 SEWER DRAINFIELD, 4" TILE /RESERVOIR ! SEPTIC TANK PUMP & ABANDON SEPTIC TANK SOAKAGE PIT — CU. FT. WELL CATCH BASIN POOL PIPING DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET FINAL PLUMBING SOLAR WATER HEATER FIRE STANDPIPE I I further myssolf, qualifiod Signod THE OW g(E'S `. FFIDAV/IT: certify that all work will be done by me personally, for without any outside help, other than o licensed & duly contractor as roquired by law. POOL PIPING LAWN SPRINKLER SYSTEM TOTAL FEE 4-00 04:LCag.e og Miami. 5ho'e& xxtempootow DADE COUNTY, FLORIDA DIVISION OF PLUM ING INSPECTION P-((3 ILDING PERMIT NO. PLUMBING 3—(7_7 PERMIT NO. 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. 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 loit _ Z Amount of Permit $ ' - -- - -- - — - My Commission Expires — (Signed) Date 6 No. a y. - ___-- d_ __ --_ -, Street // State work to be performed and purpose of building (By Floors) New Building Remodeling ....... Addition__ -- Repairs ( Signed). h Z Str eet ____ . 9 Subdivision_ _ Street No of Stories 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 —Well . _Size of Soakage Pit P1 mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an - ployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and bus 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 tlie 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 oz44 aster PI STATE OF FLORIDA, I 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 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 J Yr / / I ��q -- ex cowrR. LIST - CHECK 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. 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 loit _ Z Amount of Permit $ ' - -- - -- - — - My Commission Expires — (Signed) Date 6 No. a y. - ___-- d_ __ --_ -, Street // State work to be performed and purpose of building (By Floors) New Building Remodeling ....... Addition__ -- Repairs ( Signed). h Z Str eet ____ . 9 Subdivision_ _ Street No of Stories 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 —Well . _Size of Soakage Pit P1 mbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an - ployer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and bus 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 tlie 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 oz44 aster PI STATE OF FLORIDA, I 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 such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No. 49 Owner's Name and Address Location and Legal Description Lot__ MIAMI SHORES VILLAGE 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 wor Registered Architect and /or Engineer rte` 1!%17 Z � Employing Plumber's Name _— �____ � ��'� � � _ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT D _i y r _____ --- _ -�- -- _____ -- Street_ __ '__ - Block _ .. _�._ Street and Number where work is to be performed —No q j ____ _�-- - — St t __ r State work to be performed and purpose of building ( Floors) _____� New Building _______ _— ________________ Remodeling Addition Repairs No __ Street - -r'- No. of Stories d 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 $___ ! STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires — _Capacity Gals.__________________ —__ v– - Plum i y, Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligltfons 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. -/� /o // (Signed) 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. A 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 Permit No. 49 Owner's Name and Address Location and Legal Description Lot__ MIAMI SHORES VILLAGE 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 wor Registered Architect and /or Engineer rte` 1!%17 Z � Employing Plumber's Name _— �____ � ��'� � � _ PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT D _i y r _____ --- _ -�- -- _____ -- Street_ __ '__ - Block _ .. _�._ Street and Number where work is to be performed —No q j ____ _�-- - — St t __ r State work to be performed and purpose of building ( Floors) _____� New Building _______ _— ________________ Remodeling Addition Repairs No __ Street - -r'- No. of Stories d 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 $___ ! STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires — _Capacity Gals.__________________ —__ v– - Plum i y, Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligltfons 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. -/� /o // (Signed) 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. A Notary Public. State of Florida NOTE: A re inspection fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No..._.,.e • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date b 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 l � ' Owner's Name and Address f �t ' ' _: _!``` ' _ � = ''� 8 Street.. .X. __ _ __ e f- • P` 61: Registered Architect and /or Engineer r Employing Plumbei s Name -, '%A� - *., No Street +� „ / •_ —� -- Location and Legal Description Lot_ ' 2' 21_ Block 2.-- Subd' ision_ d+q��`_ Street and Number where work is to be performed —No q ivl ,_ __"2 Street _ 0 State work to be performed and purpose of building (By Floors) New Building_________________ Remodeling Addition_____ Repairs__ , k/ Size Septic Tank_ __ — ______ Type of Tank . Capacity Feet of Drain _______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $_ _(Signed) 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. ss. My Commission Expires (Signed) No. of Stories L Plum bt*g Inspector. �r K IJiaster Plumber. STATE OF FLORIDA, 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. 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'O POOL CONTR. LIST CHECK Permit No..._.,.e • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date b 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 l � ' Owner's Name and Address f �t ' ' _: _!``` ' _ � = ''� 8 Street.. .X. __ _ __ e f- • P` 61: Registered Architect and /or Engineer r Employing Plumbei s Name -, '%A� - *., No Street +� „ / •_ —� -- Location and Legal Description Lot_ ' 2' 21_ Block 2.-- Subd' ision_ d+q��`_ Street and Number where work is to be performed —No q ivl ,_ __"2 Street _ 0 State work to be performed and purpose of building (By Floors) New Building_________________ Remodeling Addition_____ Repairs__ , k/ Size Septic Tank_ __ — ______ Type of Tank . Capacity Feet of Drain _______ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $_ _(Signed) 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. ss. My Commission Expires (Signed) No. of Stories L Plum bt*g Inspector. �r K IJiaster Plumber. STATE OF FLORIDA, 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. 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. - -^ CLGaETB BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES Corm. LIST CHECK e SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM $W IM'G POOL Ceara. LIR / _ . CHECK i 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 complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. .�J Owner's Name and Address Registered Architect and /or Engineer_ _ Employing Plumber's Nam I ( 1i? --I r ° 11> F_;� _ t``�' {h No. J 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) New Building Remodeling._ _ Addition Size Septic Tank_ Type of Tank__ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit c'� o Amount of Permit $ --_ - -_ (Signed)___ Nature of Water Supply: City — Well.__ 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 5988, 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 undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �- - -_ - My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) _ 7 0 Street__ Subdivision Street Repairs No. of Stories. Street 2 ' Notary Public, State of Florida MasteLPtumber. STATE OF FLORIDA, 1 COUNTY OF DADE. 1 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. 9 .._— CLOSETS BATH TUBS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUae URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT NS SERvICP. -- TOTAL FIXTUREi CONTR. LIST CHECK HA r3S 1 • _ SEPTIC TANK SEWER CONN DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST CHECK /� /0 0 Permit No. ..__/ C6 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 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. 4 Ce HIP A r No P? Registered Architect and /or Engineer _ - -_ -_ --- - -_ - -- _ -_- - _ - -_ -_- Employing Plumber's Name . 6 " ®� - `� l� 6 ‘f _ -- No ___ br-J G Street (.4) 7 Location and Legal Description Lot--__ Block__.! _._ Subdivision Street and Number where work is to be performed —No — _- i-__-- _____. ___ Street Ai 6 f' Y State work to be performed and purpose of building (By oors ) New Building__ -. _. Remodeling Addition Repairs Size Septic Tank Type of Tank___ Capacity Gals. Amount of Permit $ (Signed) (signed)_ Date. 3 s Street 4 ? ," 4 %;9 1 * No. of Stories Feet of Dr Tile Dist. Feet of Tank or Drain Field from Well .............. __._ ... __ _. -.. Nature f Water upply: City —Well / A V 0 --. Size of Soakage Pit 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 ,n- plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work so 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 an licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, �. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tae therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or hail materials and /or workmanship.