PLUMBINGBUILDING
ELECTRICAL
PLUMBING
cons act to
ith e unde
d proved
. laris are eh
assumes th r
awings or
Work t
MIAMI SHORES V
PERMIT N° 0539
ed and = this P
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Descriptiop
Address Of
Building
This permit is ted to the contractor or builder na d
herefor in; strict comp ' ce with all ordinances pertaining reto and
drawings, statements or specifications that may have been s • mitted
time if the work is not done .in compliance with such ordinances or if t
granted is the understanding that the contractor or builder named abo
pertaining to the work covered hereby whether shown on the plans or
done by his agents, servants or employees.
2. 4-
Signed•
In consideration of the issuance to me of this permit I agree t
pertaining thereto and in strict conformity with the plans, drawings, st
In accepting this permit I assume responsibility for all work done
LLAGE, FLORIDA
Subdi-
vision
CONTRACTOR 'OR BUILDER BY
Value of
oject $
INSPECTOR
rform the work covered hereunder in ' mpliance with
ments or specifications submitted to the proper au
ither, myself, my agent, servant or employee.
Contractor's
License No
Amt. of
Permit $'
ding or to install the equipment or device described in the plication
ng that the work will be performed in compliance with a plans,
e proper municipal authorities. This Permit may be revoked at any
without authorization. A further condition upon which this permit is
nsibility..for a thoroug. knowledge of the ordinances and regulations
statem • is . specifi . ti • s and that he assumes responsibility work
ations
Village.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
This permit is granted to the contractor or builder named above
herefor in strict compliance with all ordinances pertaining thereto and
drawings, statements or specifications that may have been submitted to
time if the work is not done in compliance with such ordinances or if the
granted is the understanding that the contractor or builder named above
pertaining to the work covered hereby whether shown on the plans or c
done by his agents, servants or employees.
Signed
In consideration of the issuance to me of this permit I agree to
pertaining thereto and in strict conformity with the plans, drawings, sta
In accepting this permit I assume responsibility for all work done by e
Lo
CONTRACTOR OR BUILDER
MIAMI SHORE
I ,PERMIT N°
Work to be yerformel under this l
f fi
f
11 31. ► 3 i
3 VILLAGE, FLORID ,
DATE
10130
Subdi-
vision
Value of I) Amt. of
Permit $
Project f y
o construct the building or to install the equipment or device described in the application
with the understanding that the work will be performed in compliance with any plans,
nd approved by the proper municipal authorities. This Permit may be revoked at any
plans are changed without authorization. A further condition upon which this permit is
assumes the responsibility for a thorough knowledge of the ordinances and regulations
r awjpgs or in the statements or specifications and that he assumes responsibility for work
i " `°9Y
1NSPECitOR
perfotin the work covered hereunder in compliance witl all , rdinances and regulations
. or specifications submitted to the proper authoritied of Miami Shores Village.
Cher, myself, my agent, servant or employee.
19
Contractor's
License No
BY AUTHORITY
•
•
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 /5/o/ Job Address /29,2 ,4J 9% SA Tax Folio ✓ 1 1 - 32-0(o-01g-4
Legal Description S'« a a cl. Historicalh' Designated: Yes No ✓
Owner/Lessee / Tend( -C kr n • K Q . 0 d "B L (o S M as t r Permit #
Owner's Address / a 9a it/. t. 9 S s 7
Contracting 1/1.10,/ Coo.Z/�»-/✓/9 S ZAzdAl 5- # 7, " 1 /7/e-,1
Qualifier / 5G2• /cz nCZ� SS# Phone 30514 (a4 — 4(0 74
State # Municipal # C o m p e t e n c y # go z 3 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL •LUMBING) MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 1s 7 0 Al n" 4 a - O rr p fek of g r)K../er -
S y 3
GAS /nq giG/S7 .t�Y
�9 ale 4- r P
Square Ft. � Estimated Cost (value) 4 / . eV"
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR JMPROVEMENTS 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 iuisdiction. 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
and zoning. Furthermore, I authorize the above -named contractor to do the work s
/
Signature of o ; 5 1 and/or Condo President
1, Ch
Notary as to Owner and/or President
My Co, ion Expisginnie Cheryl Barber
' ; :a MY COMMISSION #CC2672461 EXPIRES
D ecem be r 2, 2001
BONDED THRU TROY FAIN INSURANCE, INC
FEES: PERMIT
APPROVED:
Zoning
Mechanical
Plumbing
3
Date
0 I
-7 -
Phone S ' S7 ` � — i 9 03 .
Address / 0 a / 5 Lv . 73 46)6.71.c e.
Signature of Contractor or Owner- Builder
/ O/
Date
Date Notary as to Contractor or Owner -Bui
'exsorNS 119
' r)
My Commission Expires:
RADON C.C.F. NOTARY BOND
Building Electrical
Structural Engineer
3
PROPERTY: All that part of Lots 1 and 2, in Block 85, of MIAMI SHORES SECTION NO.
3, according to the Plat thereof, as recorded in Plat Book 10, Page 37, of the
Public Records of Dade County, Florida, lying West of the following described
line: From a point in the North lire of Lot 1, a distance of 75.0 feet East of the
Northwest comer of said Lot 1, run Southerly 100.2 feet to a point in the South
line of Lot 2, lying 82.12 feet East of the Southwest corner of said Lot 2.
n1JM SHN I HNH' S LHWN H 1 NKLbRS
ti
r
9
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITF. AT TIME Ur' FIRST INSPECTION
PFdtMIT NO.
1T�'.X FOLIO NO. I 1 — 2 —C6-- 4
STATE OF FLORIDA
COUNTY OF DADE
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance
with Chaprnr '713. Florida Statutes, the following information is provided in this Notice of Commencement:
✓1. LcgL l?Qrti t j�roprtygd sg t aJclt� A� �� ef"Ye.____
3 1
7. Description of improvemeilL NEW
vS. e sad sa' c ____ �4 s
i24 3 re]
/Interest in property: _ Lt) V1 P .0 S e'L'_ re"�''►
Name and address of lee simple titleholder: ,P_ S 3 . a 1OrL.
4. Contrartnr's name d address: .5t,4m1s t �
✓.S. Surety: (Payment bond required by uwucr from contractor, if any)
Name and address: N
Amount of bond: $
/ 6. Lender's name and address.,,/ AA�� /_(d Y Q
✓7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13 (1) ( a ) '1.. Hor Statu es:
Name and address: I Y I[ C.I.0 i 3 C.��1CJ1v`Q.
v 8. In addition to himself, Owner designates the following pethurr (s) to r+cccive a copy of the Lienoes Notice ac
provided in Section 713. 13 (1) (l,) 7., Florida Statutes.
4-
9. Expiration date or this Notice of Commencement (the expiration dare is 1 year from the dare of recording
unless a different date in specified)
Signature of O 41 rr V
1/Print Owner's Natne L 1 DV'?Nt S k0
Sworn to and subscribed bef.no errs this a 1 5' day of i f,h't0 ton(
,/Notary Public
Pnlnt Notary's Name
My Commicsinn Expires:
Received Mar -20 -01 02:36pm
H-!X NU. : .5 15- 2bb -SS /y Mar. 21 214id1 02:.ibHM H2
From -305 266 9979
STATE OF FLORIDA, COUNTY OF DADE
6 HEREBY CERTIFY that this is a true co y f the
original filed in t office o day et
, AD 20
WITNESS my land and Official Seal.
HARVEY RUVIN p, trcuit and County Courts
By v_ 1 L !/14
To 8 D
01R161025 2001 APR 04 14 :36
em
1-/re ams /'Q/7L75
Prrpared by Y f.fo g0 IS
Ad re.: ((,et
Bonnie Cheryl Barber
MY COMMISSION # CC672461 EXPIRES
December 2 2001
90NDEDTHRU TROY FAIN INSURANCEINC
Page 002
PROPERTY: All that part of Lots 1 and 2, in Block 85, of MIAMI SHORES SECTION NO.
3, according to the Plat thereof as recorded in Plat Book 10, Page 37, of the
Public Records of Dade County, Florida, lying West of the following described
line: From a point in the North line of Lot 1, a distance of 75.0 feet East of the
Northwest corner of said Lot 1, run Southerly 100.2 feet to a point in the South
line of Lot 2, lying 82.12 feet East oethe Southwest corner of said Lot 2.
ITEM
BATH TL3
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIOET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMP3
DUCT TORK
FLOOR DRAIN
SERVICE REPAIR/WE MANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSLRE VESSELS
CLOTHES WASHER
MOTCRS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 H'
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTCRS OVER 3- 5 H'
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTCRS OVER 5- 8 HT'
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTCRS OVER 8- 10 H'
ELEVATORS/ESCALATCRS '
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
URINAL
MICAS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 NIP
VIOLATION '
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY T0:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS'
'
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORM:RS
.
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMfiAING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
ORAINFIELO, 4' TILE/RES. -
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANOPIPE
POOL PIPING
•
LAWN SPRINKLER SYSTEM _
1
GAS RANGE
METER SET (GAS)
.
GAS PIPING
• ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
02:53pm From -SH&D LLP 48
�
(2g.tROts, `W1.f
• t
-
____r__
5a cm
kr3
.
L LA
•••••■••
SS. le Co)
305 577 7001
1 1:7-71r
0
T -857 P.004
M
F -414
••• , r
1
.a
It
lima -NI:
t 2 � 4
• y b'^ ouo ® h
61
ao{-oJ =x b ,
_avn/ viav 1
Loi-
• • L2) "—T----11 E
,Ail thak
twoordin
acorgs
point
of mid
82.126
Certific
Pete: P
Title la
t.
•
tr
r
•
•
s•
Permit No. _./Q l_�___
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 Miajni 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.
State work to be performed and purpose of building (By Floors)
Size Septic Tank Type of Tank
Feet of Drain Tile
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE'
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owner's Name and Addre
Registered Architect and /or Engineer
Employing Plumber's Name L9n
Location and Legal Descri n Lot adi L f / Block
Street and Number where work is to be performed —No L__ _9 g-
No.
(Signed )
Street
New Building Remodeling Addition, epairs
Date -D
Street .T�°-��__7.-rT
St ree t ���� / j / �, t ,
Subdivision' 51
No. of Stories
Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply. City— *1 Size of Soakage Pit
, (Si ned "�- •�--s4 °�
Amount of Permit $ �-- - 7 -- Il ) ���� hig�bing Inspector.
L
The undersigned applicant for this building permit does hereby certify th &t hetfn4rstands and accepts his obligati. ., an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled ner 1 Laws of Florida Permane. S> • lement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo -. .y 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 appeared
to me well known, and who, being by me first duly sworn, upon oath deposes acid 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 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
LAUNDR'r
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
4
4j
7
TOTAL
FIXTURES
CONTR.
LIST
/
/
'
K
�I
`
/
/
--Z,
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
t
CHECK
•
•
s•
Permit No. _./Q l_�___
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 Miajni 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.
State work to be performed and purpose of building (By Floors)
Size Septic Tank Type of Tank
Feet of Drain Tile
STATE OF FLORIDA, t
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE'
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Owner's Name and Addre
Registered Architect and /or Engineer
Employing Plumber's Name L9n
Location and Legal Descri n Lot adi L f / Block
Street and Number where work is to be performed —No L__ _9 g-
No.
(Signed )
Street
New Building Remodeling Addition, epairs
Date -D
Street .T�°-��__7.-rT
St ree t ���� / j / �, t ,
Subdivision' 51
No. of Stories
Capacity Gals
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply. City— *1 Size of Soakage Pit
, (Si ned "�- •�--s4 °�
Amount of Permit $ �-- - 7 -- Il ) ���� hig�bing Inspector.
L
The undersigned applicant for this building permit does hereby certify th &t hetfn4rstands and accepts his obligati. ., an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled ner 1 Laws of Florida Permane. S> • lement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo -. .y 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 appeared
to me well known, and who, being by me first duly sworn, upon oath deposes acid 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 such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
•
• T
CHECK
SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G
TANK CONN. FIELD PIT TRAP HEATER WELD SYSTEM POOL
CONTR. /
LIST
CHECK
Permit No../ -
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement I 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 Nliami 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.
Registered Architect and /or Engineer
Employing Plumber's Name C No.__ 7 4 J Street ,/ 7 9 >".. `
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank // - C ° .;4- /7
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
r
Feet of Drain Tile
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
.I
ss.
sgN /.2 / Street /` 4 2
(Sinned)
(S;Ggned)
Date /0 - �
Capacity Gals._ ___C m m
Plumbing Inspector.
The undersigned applicant for this ,building permit does hereby certify that he understands and accept s'1 is 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 a;1 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 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 foregoii;g 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 such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
CLOSETS B
BATH S
SHOWERS L
LAVA- S
SINKS S
SLOP L
LAUNC�RY U
U RINALS C
CATCH F
FLOOR D
DRINKING T
TOTAL
CONTR.
LIST
Permit No../ -
Owner's Name and Address
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Application is hereby made for the approval of the detailed statement I 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 Nliami 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.
Registered Architect and /or Engineer
Employing Plumber's Name C No.__ 7 4 J Street ,/ 7 9 >".. `
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Septic Tank Type of Tank // - C ° .;4- /7
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well Size of Soakage Pit
r
Feet of Drain Tile
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE.
.I
ss.
sgN /.2 / Street /` 4 2
(Sinned)
(S;Ggned)
Date /0 - �
Capacity Gals._ ___C m m
Plumbing Inspector.
The undersigned applicant for this ,building permit does hereby certify that he understands and accept s'1 is 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 a;1 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 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 foregoii;g 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 such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.