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1170 NE 97 St (13)BUILDING ELECTRICAL PLUMBING ROOFING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect _ Contractor or Builder Legal Lot Description II Bl. N° 7044 Work to be performed under this Permit. BY DATE Contractor's License No. Subdi- vision Address of " -- -- Value of II Amount of �..�. Building i Project $ 1! Permit $ , This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. ` ,,_ ..•,, - -k INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance vrith all ordin 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. AUTHORITY 19—__ A4 !SOT Li.aL BUILDING ❑ PLUMBING ELECTRICAL ° � PERMIT N °• 8291 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building i‘ 0 Lot CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit l , . II 1= C I Subdi- vision Sq. Ft. Value of Project Date —l- ' r . Contractor's License No. ' 4 ' t 1 9( 7 Signed • " -c - (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation- pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 11 Amount of _ I I Permit $ l_ - 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. BY AUTHORITY BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING fig PERMIT N °. 9652 ROOFING ❑ Owner of Building t Architect Contractor or Builder [.. l- " c' Legal Lat Description Address of Building CONTRACTOR or BUILDER .1 7 Work to be performed under this Permit j BI 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 ordinance, and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants or employees. Signed: /4-) (INSPECTOR) BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. I' • 7 Date _ ?. S 19 _ Contractor's 0 Z ,/ License No. Subdi- vision Sq. Ft. Value of of 7 Project $ 1 1 1 Permit $ BY AUTHORIT : 3 . C 0 Permit No Size Septic Tank__ . Type of Tank Amount of Permit STATE OF FLORIDA, et3. COUNTY OF DADE. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re- materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Block (Signed)_ . 428834 — C Notary Public, State of Florida November 30 1o5 () _ ..... _ .... . . ...... 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 1.1. Adkins 1170 NE 97 Street Street ... Reglstered Architect and/or Engineer . Employing Plumber's Name GAS No. 835o Stre, t_.7 Avenue, - L'iami Location and Legal Description Lot Subdivision_ Street and Number where work is to be performed—No 1170 Street NE 97 St . State work to be performed and purpose of building (By Fl Heater to nresent gas lines. New Building Remodeling. Addition Repairs No. of Stories. 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 Plumb gspector. 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 Perinanent 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 e perfo 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. spsction b niade• necessary by improper notice for inspection, or faulty CLOSETS BATH TUBS SH " E " LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOU NT• NS onace Heater I TOTAL. CONTR. LIST FIXTURES CHECK Nr .A. SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW I M • G POO L I--- CONTR. LIST CHECK ,■-•• : 3 . C 0 Permit No Size Septic Tank__ . Type of Tank Amount of Permit STATE OF FLORIDA, et3. COUNTY OF DADE. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re- materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Block (Signed)_ . 428834 — C Notary Public, State of Florida November 30 1o5 () _ ..... _ .... . . ...... 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 1.1. Adkins 1170 NE 97 Street Street ... Reglstered Architect and/or Engineer . Employing Plumber's Name GAS No. 835o Stre, t_.7 Avenue, - L'iami Location and Legal Description Lot Subdivision_ Street and Number where work is to be performed—No 1170 Street NE 97 St . State work to be performed and purpose of building (By Fl Heater to nresent gas lines. New Building Remodeling. Addition Repairs No. of Stories. 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 Plumb gspector. 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 Perinanent 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 e perfo 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. spsction b niade• necessary by improper notice for inspection, or faulty 2° ^( Permit No 71—"Ct �- Registered Architect and /or Engineer__ _________________________ --__,.. New Building Remodeling Addition_ Amount of Permit 3 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PE MgT (Signed)- (Si 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 1.1Q�{ .ns No - - © --. ° ° Street_ 97 `' ° Employing Plumber's Name ____ , ^-- __ -_--- No._ Street__ Location and Legal Description Lot________ Street and Number where work is to be performed— No._____ 1 - 7 - 70 _L% E• — _ Street 97 ".3.--- State work to be performed and purpose of building (By Floors) _ __ , _nn e C to d S n o . ^. e Ike ter to present Date January 9, 1.9(7 ______ Block Subdivision Repairs No. of Stories. _Type of Tank___ Capacity Gals. Size Septic Tank Feet of Drain Tile.________ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ _ Size of Soakage Pit PI " bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su b. ment, and has •om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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-contractor ork to be performed licensed by Miami Shores Village. thi 9 per } as �It 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. lumber. STATE OF FLORIDA, g COUNTY OF DADE. p Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida NOTE: A re-inspection fee of $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /o2 worimarnship. CLO UESTO BATH TUBS SHOWERS LAVA. TORI SINKS SLOP SIMKD LAUNDRY TUDG LS URINALS CATCH BASIN FLOOR DRAIN DRINKI NG FOUNT' NS TOTAL FI %TURES CONTR. LIST CHECK - SEPTIC TANK SEWER COMM DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M G POOL. CONYR. LIOT CHECK 2° ^( Permit No 71—"Ct �- Registered Architect and /or Engineer__ _________________________ --__,.. New Building Remodeling Addition_ Amount of Permit 3 My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PE MgT (Signed)- (Si 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 1.1Q�{ .ns No - - © --. ° ° Street_ 97 `' ° Employing Plumber's Name ____ , ^-- __ -_--- No._ Street__ Location and Legal Description Lot________ Street and Number where work is to be performed— No._____ 1 - 7 - 70 _L% E• — _ Street 97 ".3.--- State work to be performed and purpose of building (By Floors) _ __ , _nn e C to d S n o . ^. e Ike ter to present Date January 9, 1.9(7 ______ Block Subdivision Repairs No. of Stories. _Type of Tank___ Capacity Gals. Size Septic Tank Feet of Drain Tile.________ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well _ _ Size of Soakage Pit PI " bing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su b. ment, and has •om- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 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-contractor ork to be performed licensed by Miami Shores Village. thi 9 per } as �It 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. lumber. STATE OF FLORIDA, g COUNTY OF DADE. p Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida NOTE: A re-inspection fee of $LOO will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /o2 worimarnship. ` CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SIMKO LAUNDRY TUBE U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES Comm LIST CHECK SEPTIC TANK SEWER CONN. DRAIN R IELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 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. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name () G ZI Location and Legal Description Lot________ /,___ —Block Subdivision Street and Number where work is to be performed—No-127P 4 Street State work to be performed and purpose of building (By Floors) _ New Building _--- -- _--- -- -• -- - - - - --- Remodeling Size Septic Tank---- _--- -- ......... . ... Feet of Drain Tiie__ _ - - P Nature of Water Supply: City— Well._ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR Pal/ INS PER IT / o/c- m/s No . /170 Date Street Street - //// c /L" Addition_______ Repairs No. of Stories .. . ...... .... .......... Type of Tank_ -- -_ Capacity Gals. .... Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit (Signed)_ 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 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 tine Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shares Village. ✓C� (Signed)-------- - - - -`- - - - -- - - - -= � Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 0. G. LLOYD 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. - ti ARG2 NOTE: A re-inspection fee of 01.00 will be made when such se- inspection ie made necessary by improper notice for inspection, or faulty materials and/ca workmanship. Notary Public, State of Florida Df 1 a for er - ion Lot BI, Subdi- vision of I Value of Project $ / Amt. of Permit $ BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contrac or Build Legal Descrip Addres Buildin MIAMI SHORES VILLAGE, FLORIDA PERMIT 'N° 13489 DATF. Work to be performed under this Permit 195 Contractor's License No 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY . � . Permit No. _ Size Septic Tank - f Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, j �. COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F R PLUMBING PERMIT Location and Legal Description Lot. - Block Street and Number where work is to be performed —No 4/ State work to be performed and purpose of building (By Floors )_.____ 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 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 rt - " " — - No._ - -_ Street Registered Architect and /or Engineer - Employing Plumber's Name- __ ___________ _ ri=m No. Street Subdivision_ _____________ Street 7":- " C- / - New 'Building Remodeling Addition Repairs No. of Stories Type of Tank_ Capacity Gals.. Dist. Feet of Tank or Drain Field from Well_ Nature of Water Suppl r 3Well J ' Size of Soakage Pit c G., 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 5986, 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 pemit, as art licensed by Miami Shores Village. Master Plumber. 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. 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 fall! materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS :'. /--( '. ". TOTAL FIXTURE! -- CONTR. LIST �� / � � e , 1 / g - CHECK R /i O / � ,. / e L SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP • -SC LAD HEATER DEEP WELL SPRKLR. SYSTEM SW WIG POOL CONTR. LIST I e j (1; °;: / /' ,c/; i .i �-� CHECK . � . Permit No. _ Size Septic Tank - f Feet of Drain Tile Amount of Permit $ STATE OF FLORIDA, j �. COUNTY OF DADE. J MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION F R PLUMBING PERMIT Location and Legal Description Lot. - Block Street and Number where work is to be performed —No 4/ State work to be performed and purpose of building (By Floors )_.____ 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 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 rt - " " — - No._ - -_ Street Registered Architect and /or Engineer - Employing Plumber's Name- __ ___________ _ ri=m No. Street Subdivision_ _____________ Street 7":- " C- / - New 'Building Remodeling Addition Repairs No. of Stories Type of Tank_ Capacity Gals.. Dist. Feet of Tank or Drain Field from Well_ Nature of Water Suppl r 3Well J ' Size of Soakage Pit c G., 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 5986, 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 pemit, as art licensed by Miami Shores Village. Master Plumber. 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. 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 fall! materials and /or workmanship.