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970 NE 94 St (9)Permit No. __! . Z7O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is here )y 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 VJlage 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 'a '4 i. Registered Architect and /or Engineer Employing Plumber's Name ____ } s +� , ,y,L ra _ No Street Block_ Location and Legal Descriptioh/Lot__ Street and Number where work is to be performed —No _, State work to be performed and purpose of building (By Floors) New Build Size Septic Tank__:* *I- Feet of Drain Tile Nature of Water Supp d / . 5 �ACni of Permit $___ My Commission Expires Type of Tank_ 5 - Date_ Subdivision No Street Street Remodeling Addition Repairs No. of Stories Capacity Gals Dist. of Tank or Drain Field from WeIL D _Size of Soakage Pit - ---- - -- -- -- --------- - - - - (Signed) 150 The undersigned applicant for this building permit does hereby certify tha a un•e .tands and accepts his obligations an employer labor Ipensation Act, being Section 5966, Compile Gen Laws of Florida Permanent pplement, and s com- ith the provisions thereof, and will require similar compliance from all . . actors or sub - contractors employed by him in the w rk to be will post or cause to be posted for inspection on the site of the work such public notice or notices as are Wquired by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art /3 by Miami Shores Village. ( AL --- # f �� 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 appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat: therein by him stated are true. 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 faul materials and /or workmanship. SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS B /B0.. TOTAL FIXTURE! _ CLOSETS BATH TUBS CONTR. LIST -- CHECK / � � 5 J -tS �Sc �S S QO I SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP 41a11111r HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK a, ° Z. 0 . ..�., Permit No. __! . Z7O MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is here )y 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 VJlage 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 'a '4 i. Registered Architect and /or Engineer Employing Plumber's Name ____ } s +� , ,y,L ra _ No Street Block_ Location and Legal Descriptioh/Lot__ Street and Number where work is to be performed —No _, State work to be performed and purpose of building (By Floors) New Build Size Septic Tank__:* *I- Feet of Drain Tile Nature of Water Supp d / . 5 �ACni of Permit $___ My Commission Expires Type of Tank_ 5 - Date_ Subdivision No Street Street Remodeling Addition Repairs No. of Stories Capacity Gals Dist. of Tank or Drain Field from WeIL D _Size of Soakage Pit - ---- - -- -- -- --------- - - - - (Signed) 150 The undersigned applicant for this building permit does hereby certify tha a un•e .tands and accepts his obligations an employer labor Ipensation Act, being Section 5966, Compile Gen Laws of Florida Permanent pplement, and s com- ith the provisions thereof, and will require similar compliance from all . . actors or sub - contractors employed by him in the w rk to be will post or cause to be posted for inspection on the site of the work such public notice or notices as are Wquired by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art /3 by Miami Shores Village. ( AL --- # f �� 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 appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fat: therein by him stated are true. 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 faul materials and /or workmanship. Permit No — 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 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. 7 Owner's Name and Address .Frank 'Neal No.__ -_ -9 n�7 0 Street! 94 St. Registered Architect and /or Employing Plumber's Name D ade G S - r0 • Location and Legal Description Lot______ ___ _ Block_ Subdivision_ Street and Number where work is to be performed -No _97 Street_ 2 ' 94 St. State work to be performed and purpose of building (By Floors) _ ______ N B Remodeling___ __ _______ Addition Repairs No. of Stories. Sire Septic Tank------ --- ---------------------- - - - - -- - - Type of Tank Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well._ c-- Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 12 -18 -62 2.00 No._ 6 Street_ T 27 Ave. Capacity Gals _Size of Soakage Pit Plumbing In . •ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o. ,rations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per, .. nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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 s i ch 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. (Signed ) __ Dad e Gas Master Plumber. STATE OF FLORIDA, 1 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. 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 SHOWER! LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING1.1 FOUNT'NS aC t r TOTAL F I %TUBES CONTR. LIST -- CHECK • x SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK Permit No — 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 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. 7 Owner's Name and Address .Frank 'Neal No.__ -_ -9 n�7 0 Street! 94 St. Registered Architect and /or Employing Plumber's Name D ade G S - r0 • Location and Legal Description Lot______ ___ _ Block_ Subdivision_ Street and Number where work is to be performed -No _97 Street_ 2 ' 94 St. State work to be performed and purpose of building (By Floors) _ ______ N B Remodeling___ __ _______ Addition Repairs No. of Stories. Sire Septic Tank------ --- ---------------------- - - - - -- - - Type of Tank Feet of Drain Tile_ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City - Well._ c-- Amount of Permit $_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 12 -18 -62 2.00 No._ 6 Street_ T 27 Ave. Capacity Gals _Size of Soakage Pit Plumbing In . •ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o. ,rations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Per, .. nt Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ployed 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 s i ch 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. (Signed ) __ Dad e Gas Master Plumber. STATE OF FLORIDA, 1 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. 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. • BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building ° MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 3692 Work to be performed under this Permit B1 Signed. CONTRACTOR OR BUILDER BY Value of Project $ DATE j - t 19_x; Contractor's License No. _ >v Subdi- vision 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 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. • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complianci with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ailtfiorities of Miami Shores Village. In ac. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. i` AUTHORITY ABBOT PAINT Penni: No.. ✓ :...._ :Ipphcatu, is hereby mode for the approval of the detailed statement of the plans and specifications herewith aubr . l for the building or other ;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.: ! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic • of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and apes fications must be kept at ',uilding during progress of work. ':)wner's Name and Address...RA/k ( c 1e1 ' — _ __... —.._. No.3.2 Vlc.__ __ Street .egistlred Architect and /or Enguteer a e l �g s Name Cc!1 Id i n 1 d `t' tit .._ d.,'7!l A @ f 0 c)' t! r PJa : mploying Location and Legal Description Lot_ Block SubdivWon Street and Number where work is to be performed —No._ 1- treat State work to be performed and purpose of building (By Floors) — ...._ New Building Remodeling__ _ — ._._.___ Addition Size Septic Tanlr_°•- ----- -• -••-• -- - -__ ___..Type of Tank__ Capacity Ails Feet of Drain Tile. -. � ® _Dist. Feet of Tank or Drain Field from Well . - _-- -... -- r.• - ..... Nature of Water Supply: City — Well._ -- I.-- _.- _---- __.__— .___..___— ..._Size of Soakage Pit Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — (Signed)- (Signed)._ Repairs Date No pf Stones Plumbin: Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an en, loyet of tahos lind.;r the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lement, and tII I '01- ,lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him In ' e ,,.I rk c' b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ: notice r no icer is a.• required by the Act. The undersigned agrees to employ only such sub- contractors, on work t be pe ormed ' x this ,>:rl.tik, 04 .r licensed by Miami Shores Village. • STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgptenta, periiorrt ; a npear!ti to me will 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 tint all acts therein by hin, stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspectlas Is made'necesaary by improper notice for inspection, (E fruit) materials and /or workmanship. CLOSETS BATH TUB• 6HOW tRS LAVA' TORIES 61NKS SLOP SINKS LAUNDRY Tuna U RINALS CATCH BASIN FLOOR I DRINKING DRAIN FOUNT•NS TOT..L FIxTI RCS CONTR. LI • T CHECK _ _ SEPTIC TANK StWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL i I CONTR. LIST —_ h_... I r ._.. _.I _— - CHECK Penni: No.. ✓ :...._ :Ipphcatu, is hereby mode for the approval of the detailed statement of the plans and specifications herewith aubr . l for the building or other ;tructurc herein described. This application is made in compliance and conformity with the Building Ordinance of Mi.: ! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic • of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and apes fications must be kept at ',uilding during progress of work. ':)wner's Name and Address...RA/k ( c 1e1 ' — _ __... —.._. No.3.2 Vlc.__ __ Street .egistlred Architect and /or Enguteer a e l �g s Name Cc!1 Id i n 1 d `t' tit .._ d.,'7!l A @ f 0 c)' t! r PJa : mploying Location and Legal Description Lot_ Block SubdivWon Street and Number where work is to be performed —No._ 1- treat State work to be performed and purpose of building (By Floors) — ...._ New Building Remodeling__ _ — ._._.___ Addition Size Septic Tanlr_°•- ----- -• -••-• -- - -__ ___..Type of Tank__ Capacity Ails Feet of Drain Tile. -. � ® _Dist. Feet of Tank or Drain Field from Well . - _-- -... -- r.• - ..... Nature of Water Supply: City — Well._ -- I.-- _.- _---- __.__— .___..___— ..._Size of Soakage Pit Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT — (Signed)- (Signed)._ Repairs Date No pf Stones Plumbin: Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an en, loyet of tahos lind.;r the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cum lement, and tII I '01- ,lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him In ' e ,,.I rk c' b- performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publ: notice r no icer is a.• required by the Act. The undersigned agrees to employ only such sub- contractors, on work t be pe ormed ' x this ,>:rl.tik, 04 .r licensed by Miami Shores Village. • STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgptenta, periiorrt ; a npear!ti to me will 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 tint all acts therein by hin, stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspectlas Is made'necesaary by improper notice for inspection, (E fruit) materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot PERMIT N? 12705 bir n Work to be pe This permit is ante. to the contractor or builder med above to c= struct the build' herefor in strict comp iance with all ordinances pertaining thereto and wi the unders drawings, statements or specifications that may have been submitted to an approved by time if the work is not done in compliance with such ordinances or if the plan are chan granted is the understanding that the contractor or builder named above assu es the r pertaining to the work covered hereby whether s sown on the plans or drawin:- or in done by his agents, servants or employees. In consideration of the issuance to me of this permit I a to perfo pertaining thereto and in strict conformity with the plans, drawings, : - emen In accepting this permit I assume responsibility for all work done by e CONTRACTOR OR BUILD MIAMI SHORES VILLAGE. FLORIDA under this Permit Signed • a�— Subdi- vision Value of Project $ INSPECTOR the work covered hereunder in complia or specifications submitted to the pro myself, my agent, servant or employee. DATE 1 • 195k Contractor's License No 1 Amt. of Permit J qr to install the equipment or device described in the application ing th t the work will be performed in compliance with any plans, he prop municipal authorities. This Permit may be revoked at any d witho authorization. A further condition upon which this permit is ponsibi for a thorough knowledge of the ordinances and tions ents or specifications and that he assumes r ponsubility or work ith all ordi • n - and regulations r authorities of Mi Shores Village. Size Septic Tank_- - � Feet of Drain Tile T Nature of Water Supply: City—Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �4 1 . x- 7,7 Permit No J_ / {J Date... v :._ Y 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 et building during progress of work. Cl— Owner's Name and Address L' r A Ne ee / No. • 70 Street4& / 7f -_ 7 .. . Registered Architect and /or Engineer Employin` Number's Natne / 1 t c I ' I) % n 4/ J c Tf 1 A _ Location and Legal Description Lot_ l !Axle Subdivision Street and Number where work is to be performed —No 77P 1V.5 5' ' Ste Street. ._..._. _ ..._.._. State work to be performe8 and purpose of building (By Floors) _._— _ — New Building.._— _..----- .... - -._ -- Remodeling Addition...____. r_... Repairs_ ._./'- No. of Stories. ..... ..... ... . No.2�� C� _Type of Tank Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) .Capacity Amount of Permit $ (/ (Signed)_ // /�L f`' ; ")( 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the __.._..._.._.--- - -__ -• _ _... —._. _. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of *1.00 will be made wises snot s.speotbn M msde•neosmery by improper notice for inspection, or faulty materials and /or workmanship. GLO[[T[ BATH Tuns aHOW[R[ LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tut[ URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK • SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAO[ PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CL IST LIST CHECK Size Septic Tank_- - � Feet of Drain Tile T Nature of Water Supply: City—Well. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT �4 1 . x- 7,7 Permit No J_ / {J Date... v :._ Y 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 et building during progress of work. Cl— Owner's Name and Address L' r A Ne ee / No. • 70 Street4& / 7f -_ 7 .. . Registered Architect and /or Engineer Employin` Number's Natne / 1 t c I ' I) % n 4/ J c Tf 1 A _ Location and Legal Description Lot_ l !Axle Subdivision Street and Number where work is to be performed —No 77P 1V.5 5' ' Ste Street. ._..._. _ ..._.._. State work to be performe8 and purpose of building (By Floors) _._— _ — New Building.._— _..----- .... - -._ -- Remodeling Addition...____. r_... Repairs_ ._./'- No. of Stories. ..... ..... ... . No.2�� C� _Type of Tank Feet of Tank or Drain Field from Well Size of Soakage Pit. (Signed) .Capacity Amount of Permit $ (/ (Signed)_ // /�L f`' ; ")( 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 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acimowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the __.._..._.._.--- - -__ -• _ _... —._. _. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of *1.00 will be made wises snot s.speotbn M msde•neosmery by improper notice for inspection, or faulty materials and /or workmanship.