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710 NE 94 St (7)HUILDING ELECTRICAL PLUMBING HOOFING Architect Contractor or Builder Legal Description Lot S ! Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6552 Work to be performed under this Permit B1 Address of Building DATE I Contractor's BY AUTHORITY 195 License No. Subdi- vision Value of II Amount of Project $ I, Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may 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 responsibility for work done by his agents, servants or employees. Signed BY: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Permit No Date___ I l 4 412 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. Owners Name and Address 14. el 64€ -I Iv No 1 l - Street. ?et' 5 T Registered Architect and /or Engineer Employing Plumber's Nye -. - - - S te. - 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 Size Septic Tank_.- it ` Feet of Drain Tile k Nature of Water Supply: City-Well. Size of Soakage Pit. Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank._._ -.____ ----- .-- •-- -_._., Feet of Tank or Drain Field from Well ..- _.__ -..- (Signed) 4(cx., Capacity Gals..._.. No. of Stories........._........ _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin ent 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 die Act. The undersigned agrees to employ only such sub - contractors, n work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida j e:71/7C (te(C---fiZ• 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. mater a in aaaashipee of 81.00 will be made when such re- lnspect on V made'necesaary by improper notice for inspection, or faulty CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINK/ LAUNDRY Tuns URINALS CATCH BASIN FLOOR DRAIN - DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST 9-J CHECK Permit No Date___ I l 4 412 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. Owners Name and Address 14. el 64€ -I Iv No 1 l - Street. ?et' 5 T Registered Architect and /or Engineer Employing Plumber's Nye -. - - - S te. - 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 Size Septic Tank_.- it ` Feet of Drain Tile k Nature of Water Supply: City-Well. Size of Soakage Pit. Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _Type of Tank._._ -.____ ----- .-- •-- -_._., Feet of Tank or Drain Field from Well ..- _.__ -..- (Signed) 4(cx., Capacity Gals..._.. No. of Stories........._........ _ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perin ent 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 die Act. The undersigned agrees to employ only such sub - contractors, n work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida j e:71/7C (te(C---fiZ• 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. mater a in aaaashipee of 81.00 will be made when such re- lnspect on V made'necesaary by improper notice for inspection, or faulty BUILDING ELECTRICAL PLUMBING ROOFING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6313 Owner of Building Architect Contractor or Builder t .egal Lot Description Bl DATE ? Contractor's License No. Work to be performed under this Permit 195 Subdi- vision Address of F Value of II Amount of Building - - Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application horefor 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 responsibility for work done by his agents, servants or employees. Signed BY: y , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the wprk covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper`authorities of Miami Shores Village. In ac• -epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No. ___. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. `� a (A` f- Owner's Name and Address ...... No._ — ._. ------ --__ -- _ - Street Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot_.__._._ ..... _________ - - -__ r _____-- Block Street and Number where work is to be performed —No tree State work to be performed and purpose of building (By Floors)___ G _4. - -- y New Building _- Remodeling__ Addition______.___ Repairs No. of Stories. Amount of Permit $ ‘4.■ _ :.._� ( Signed) - v _ •� S a ATE OF FLORIDA, 1 COUNTY OF DADE. es. My mission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ; ,#101' K ze Date Street. Subdivision Notary Public, State of Florida Size Septic Tank _ _ Type of Tank_ Capacity Gals . - -_ -_ Feet of Drain Tile_ ______ - stFeet of Tank or Drain Field from Well Nature of Water Supply: City — Weil.______ _____________________ ______Size of Soakage Pit lumbing 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 has com- plied wrath 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 req4iaeel by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are hicn3d by Miami Shores Village. Master lslumber:= "j-', 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 tkeretm 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 worilmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CON' . LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CH3CX Permit No. ___. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. `� a (A` f- Owner's Name and Address ...... No._ — ._. ------ --__ -- _ - Street Registered Architect and /or Engin Employing Plumber's Name Location and Legal Description Lot_.__._._ ..... _________ - - -__ r _____-- Block Street and Number where work is to be performed —No tree State work to be performed and purpose of building (By Floors)___ G _4. - -- y New Building _- Remodeling__ Addition______.___ Repairs No. of Stories. Amount of Permit $ ‘4.■ _ :.._� ( Signed) - v _ •� S a ATE OF FLORIDA, 1 COUNTY OF DADE. es. My mission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ; ,#101' K ze Date Street. Subdivision Notary Public, State of Florida Size Septic Tank _ _ Type of Tank_ Capacity Gals . - -_ -_ Feet of Drain Tile_ ______ - stFeet of Tank or Drain Field from Well Nature of Water Supply: City — Weil.______ _____________________ ______Size of Soakage Pit lumbing 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 has com- plied wrath 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 req4iaeel by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are hicn3d by Miami Shores Village. Master lslumber:= "j-', 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 tkeretm 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 worilmanship. , • MIAMI SHORES 1/11°,e,GE PLUMBING INSPECTION DEPARTMEI APPLICATION FOR PLUMBINS ' Permit No ? _ Date i 1 / •„) 6 Application is hereby made for the approval of the detailed statement of ti7, piens and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf.,r; Ity with the 'wilding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Snores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified ,- - no.. A copy of approved plans and specifications must be kept at biding during progress of work. O Name and Address ��_ f �_____________ _ - No Street Registered Arch°tect and /or Engineer C Le-t ; . 1 f Employing Plumber's Name L A r`� k 7l • 1 Location and Legal Description Lot. 1 Sweet and Number where work is to be performed —No No.- / i'L e- ^_ _ Block _ Subdivision...:: __._ .... - -. __ - -- t C Street ! - _ .-� • � �, � - -- -- Stan work to be performed and purpose of building (By New Building _- - - - --- : . - -.•_ -- Remodeling__ -_ ._.___ Addition._ Si m. Septic Tank Feet of Drain Tile. Amount of Permit $ itiri'E CIF FLORIDA, l g3' OF DADE. (Signed)- (Signed)._ Street____ Repairs No. of Stories... Type of Tank__ Capacity Gals._ -___ __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City— Well. ._____�.Y 'e _. ._ t ) __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 5968, 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 ➢ic med by Miami Shores Village. Fiefore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me wye:i 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 therce1, by 1 - --n stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: 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 • TU &S t1RAFALB� CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N6 - . TOTAL FIXTURES LILY 4, / CHECK SEPTIC TANK SEWER CORN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL " +•_' UI/ , , i'. .� Comm. LIST CHQC( a `i , • MIAMI SHORES 1/11°,e,GE PLUMBING INSPECTION DEPARTMEI APPLICATION FOR PLUMBINS ' Permit No ? _ Date i 1 / •„) 6 Application is hereby made for the approval of the detailed statement of ti7, piens and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conf.,r; Ity with the 'wilding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Snores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified ,- - no.. A copy of approved plans and specifications must be kept at biding during progress of work. O Name and Address ��_ f �_____________ _ - No Street Registered Arch°tect and /or Engineer C Le-t ; . 1 f Employing Plumber's Name L A r`� k 7l • 1 Location and Legal Description Lot. 1 Sweet and Number where work is to be performed —No No.- / i'L e- ^_ _ Block _ Subdivision...:: __._ .... - -. __ - -- t C Street ! - _ .-� • � �, � - -- -- Stan work to be performed and purpose of building (By New Building _- - - - --- : . - -.•_ -- Remodeling__ -_ ._.___ Addition._ Si m. Septic Tank Feet of Drain Tile. Amount of Permit $ itiri'E CIF FLORIDA, l g3' OF DADE. (Signed)- (Signed)._ Street____ Repairs No. of Stories... Type of Tank__ Capacity Gals._ -___ __Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City— Well. ._____�.Y 'e _. ._ t ) __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 5968, 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 ➢ic med by Miami Shores Village. Fiefore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me wye:i 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 therce1, by 1 - --n stated are true. My Commission Expires Notary Public, State of Florida Master Plumber. NOTE: 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. Registered Architect and /or EngiPe er_ Employing Plumber's Name._ Size Septic Tank.___ ___. Nature of Water Supply: C ity —W Amount of Permit $_ STATE OF FLORIDA, CCUNTY OF DADE. IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING E";kMIT Permit No & - - - -- - - -- Date 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 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 Street and Number where work is to be performed —No 1 Location and Legal Description Lot Blork 1 0 State work to be performed and purpose of building (By Fl oors )______------ _•------ __ -_ __. New Building _ ._----- - - - -- - - --___ Remodeling_ ---- _-- _---- _____ —_ Addition No._ No._ Type of Tank Capacity Gals Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well �,��,�� ..________ _ ._Size of So it 7-4 ' W ` - - -- - - - vim (Signed) - Pl ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations t an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suk ement, and has coin - 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- contract work to be rformed under this permit, as are licensed by Miami Shores Village. Street. Stree Subdivision Street 11 S Repairs No. of Stories Le, F y Commission Expires Notary Public, State of Florida f- Master Plumber. 'lefore 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 shove described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts th:se!n by hin. 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. CI-"E" TU BS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tue6 U RINALS CATCH BASIN FLOOR DRAIN DRINK N6 FOUNT' NS TOTAL FIXTURES CONTa. LIST CMCC% SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. UST - CH SCN Registered Architect and /or EngiPe er_ Employing Plumber's Name._ Size Septic Tank.___ ___. Nature of Water Supply: C ity —W Amount of Permit $_ STATE OF FLORIDA, CCUNTY OF DADE. IAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING E";kMIT Permit No & - - - -- - - -- Date 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 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 Street and Number where work is to be performed —No 1 Location and Legal Description Lot Blork 1 0 State work to be performed and purpose of building (By Fl oors )______------ _•------ __ -_ __. New Building _ ._----- - - - -- - - --___ Remodeling_ ---- _-- _---- _____ —_ Addition No._ No._ Type of Tank Capacity Gals Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well �,��,�� ..________ _ ._Size of So it 7-4 ' W ` - - -- - - - vim (Signed) - Pl ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations t an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suk ement, and has coin - 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- contract work to be rformed under this permit, as are licensed by Miami Shores Village. Street. Stree Subdivision Street 11 S Repairs No. of Stories Le, F y Commission Expires Notary Public, State of Florida f- Master Plumber. 'lefore 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 shove described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts th:se!n by hin. 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.