1259 NE 97 St (3)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 10843
Work to be performed under this Permit_
..ww
Bl.
4-
Subdi-
vision
Vclue of
Project $
DATE—. )
Contractor's
License No
Amt. 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 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:+ " = ` { �{ �i L MF�Iu By j~
i IN PE R/
In consideration of the issuance to me of this permit I agree to Or' form 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, my ;elf, my agent, servant or employee.
CONTRACTOR OR BUILDER
AUTHORITY
/mac
___
Permit No.__ ��i 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.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name - / �, - No ' , F Street -
Location and Legal Description Lot e � Block_ —____- Subdivision
Street and Number where work is to be performed —No.! l - ;_ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Amount of Permit $ _1
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.__„' ' - - - Street
Size Septic Tank , Type of Tank Capacity Gals
Feet of Drain Tile L' Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply( City —Well/ `'s°'r_ Size of Soakage Pit
(Signed)
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 0Jligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfor:ed under this perniit, as are
licensed by Miami Shores Village.
(Signed)
Date__ L
Notary Public, State of Florida
Master Plumber.
No. of Stpries
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by impro.7er notice for inspection, or faulty
materials and /or workmanship.
CLOSETS
BATH
TUBS
SHOWERS
LAVA -
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
CONTR.
LIST
-
-
5
Gil
C
/
i
z.
CHECK
9 ..
i `r " - ,
< .Ar
ata /'' �:
m �9 .._
j =
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
%/
//
S
CHECK
✓"�
p
,/J - "�
/mac
___
Permit No.__ ��i 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.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Plumber's Name - / �, - No ' , F Street -
Location and Legal Description Lot e � Block_ —____- Subdivision
Street and Number where work is to be performed —No.! l - ;_ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Amount of Permit $ _1
ss.
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No.__„' ' - - - Street
Size Septic Tank , Type of Tank Capacity Gals
Feet of Drain Tile L' Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply( City —Well/ `'s°'r_ Size of Soakage Pit
(Signed)
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 0Jligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfor:ed under this perniit, as are
licensed by Miami Shores Village.
(Signed)
Date__ L
Notary Public, State of Florida
Master Plumber.
No. of Stpries
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by impro.7er notice for inspection, or faulty
materials and /or workmanship.
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 - ty - Y -_- 1 _ -- ' _ -._ /__. _:____ =- " -- -__..
Registered Architect and /or Eng' er_-_-____
Employing Plumber's Name . -_
Location and Legal Descrip on Lot
Street and Number where work is to be performed -No - 5 9' Street,
Size Septic Tank ..........
Feet of Drain Tile.
Nature of Water Supply: City - Well.._
My Conb-nission Expires
MIAMI SHORES VILI. GE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING °" acMIT
(Signed)
No.t__ f ._
Street.
No. Street__
Block_ _ _ ..__._._._._._. Subdivision
Date h - _ Iq - .1
r
7
State work to be performed and purpose of building (By Floors) _._ ____..._.__.________
New Building - -_ Remodeling____ _..__._ Addition______._._ Repairs No. of Stories.
Type of Tank_ Capacity Gals..
_Dist. Feet f Tank or Drain Fiel Well_ ______________ _.._._
ge Pit
Amount of Permit $-------------------------------------- - - - - -- (Signed) - - - -- 11-1 r - - -•- -- p "� t ,--
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 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by 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.
CLOSETS
BATH
TUBS
S
LAVA-
TORIES
SINKS
SLOP
SINKB
LAUNDRY
Tues
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NB
TOTAL
FIXTURES
CONTR.
LIST
CHICK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIOT
CHECK
w
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 - ty - Y -_- 1 _ -- ' _ -._ /__. _:____ =- " -- -__..
Registered Architect and /or Eng' er_-_-____
Employing Plumber's Name . -_
Location and Legal Descrip on Lot
Street and Number where work is to be performed -No - 5 9' Street,
Size Septic Tank ..........
Feet of Drain Tile.
Nature of Water Supply: City - Well.._
My Conb-nission Expires
MIAMI SHORES VILI. GE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING °" acMIT
(Signed)
No.t__ f ._
Street.
No. Street__
Block_ _ _ ..__._._._._._. Subdivision
Date h - _ Iq - .1
r
7
State work to be performed and purpose of building (By Floors) _._ ____..._.__.________
New Building - -_ Remodeling____ _..__._ Addition______._._ Repairs No. of Stories.
Type of Tank_ Capacity Gals..
_Dist. Feet f Tank or Drain Fiel Well_ ______________ _.._._
ge Pit
Amount of Permit $-------------------------------------- - - - - -- (Signed) - - - -- 11-1 r - - -•- -- p "� t ,--
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 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 tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by 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.
PLUMBING INSPECTION DEPARTMENT
cj APPLIC�ATB!' N F 4 PLUM Id',10 PERMIT
Permit No � 1 Eats... . G.3 ) �._._.—
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 b 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 mud be kept at
building during progress of w k. ��r
Owner's Name and Address i� p ?
U"
Registered Architect and /or Engineer ��
Employing Plumber's Name Liao' ' ��.�11.k.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
Size Septic Tank
Fad of Drain Tile 3 2 (W
Nature of Water Supply: City —Weil.
Amount of Permit $
AftliAn OMORES VORA. OE
Komi SI a- 26 No
/
(Si
State work to be performed and purpose of building (IBy Fes)- _.— _.._. ._.._______
New Building.__.._ —._ - - . Remodeling.___._.._._....__ Addition...____.___... Regain_ No. of Stories. . . .....
Type of Tanh
Feet of Tank or Drain Field from Well
Sizra ad Soakage Pit_
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligEions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on w A to performed under this permit, as are
lloenaed by Miami Shores Village.
STATE OF FLORIDA,
u.
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 semen, upon oath depecae and says that be is the ___.._.--- .._..._.._... - - - - -. —•
of the above described construction, that he has carefully read the foresegats application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Eapine Notary Pehlke, State of Florida
NOTE: A re- inspection fee of MOO will he s fa
materials and /or workmanship.
(Signed) Plumbing Intor.
Street.—
.Capacity Gds..
- ...�,...�.. at�.�..o..�,.�..� •, ...R •
SubdivWen _
Street. 9...z.0
Isseareary by hapropsz notice for inspection, or faro►
CLOSQ T6
OATH
TUDr
SHOWERS
LAVA.
TORIES
SINEi TUNIS
SLOP
SINES
LAUNDRY
TUNIS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'NO
TOTAL
PI
CONTrf.
1-107
CHECK
_
_
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
Drsna+
WELL
SPRILLW.
SYSTEM
Sw1k1'®
POOL
CONTR.
LIST
CHECK
PLUMBING INSPECTION DEPARTMENT
cj APPLIC�ATB!' N F 4 PLUM Id',10 PERMIT
Permit No � 1 Eats... . G.3 ) �._._.—
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 b 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 mud be kept at
building during progress of w k. ��r
Owner's Name and Address i� p ?
U"
Registered Architect and /or Engineer ��
Employing Plumber's Name Liao' ' ��.�11.k.
Location and Legal Description Lot.
Street and Number where work is to be performed —No
Size Septic Tank
Fad of Drain Tile 3 2 (W
Nature of Water Supply: City —Weil.
Amount of Permit $
AftliAn OMORES VORA. OE
Komi SI a- 26 No
/
(Si
State work to be performed and purpose of building (IBy Fes)- _.— _.._. ._.._______
New Building.__.._ —._ - - . Remodeling.___._.._._....__ Addition...____.___... Regain_ No. of Stories. . . .....
Type of Tanh
Feet of Tank or Drain Field from Well
Sizra ad Soakage Pit_
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligEions as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on w A to performed under this permit, as are
lloenaed by Miami Shores Village.
STATE OF FLORIDA,
u.
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 semen, upon oath depecae and says that be is the ___.._.--- .._..._.._... - - - - -. —•
of the above described construction, that he has carefully read the foresegats application, and that be did sign the same, and that all facts
therein by him stated are true.
My Commission Eapine Notary Pehlke, State of Florida
NOTE: A re- inspection fee of MOO will he s fa
materials and /or workmanship.
(Signed) Plumbing Intor.
Street.—
.Capacity Gds..
- ...�,...�.. at�.�..o..�,.�..� •, ...R •
SubdivWen _
Street. 9...z.0
Isseareary by hapropsz notice for inspection, or faro►
Permit No.... 1 0
Employing Plumber's Name
Location and Legal Description Lot
Amount of Permit $ .�
MIAMI SHORES ILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
2-
Size Septic Tank__ Type of Tank- --- ---- - - - - -.
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well
Nature of Water Supply: City —We1L Size of Somkage Pit
(Signed) -1( 1/SY SF-o ei , )" 1
(Signed)
11 32—oS v? 69
e
7 4 C:
3
Application is hereby made for the approval of the detailed statement of the plane 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 et
building during progress of work. 1
Owner's Name and Address 0r r 1 e. 1) za be
Registered Architect and/or Engineer_A aTIO vi: Vowe
•
2o 1S - � /U � 1 lS"
Subdivision .___— ._.__
Street_ llL.LE" . :7 •S71
Block
Street and Number where work is to be performed —No 12 9 � ' E • 1 7 St.
.
State work to be performed and purpose of building (By Floors) _3 ` 8 S' 1
New Building.._.._ —_.._ _.. Remodeling___......_. -- Addition..._ - - -_ _ _ Repairs No. of Stories. .
Street...42�__� 1 7 . Sr..
Capacity Gals.•._..._.-.— _ ._ —.._
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilrr 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 air
required by t}ie Act. The undersigned agrees to employ only such sub- contractors, on work - � � purl» as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, I µ
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. Plotary Public, State of Florida at Largo
Idy Commission Expires January 2ti, 19
.Boadetl
My Commission Expires I Stmt of Florida
NOTE: A re- inspection fee of $1.00 will be made when swab misspeaks M made•neoessmy by 'swayer mention fee inspection, or faulty
materials and /er workomamahip.
/
CLearre
BATH
TUB[
11
LAVA-
TORIES
eINKe
SLOP
SINKS
LAUNDRY
Tu•E
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N$
TOTAL
PIIITURtt
—
Corm'.
LIST
CHICK
—
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
G
TRAP
SOLAR
MUTER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM•O
FOOL
CONTR.
LIST
CHECK
/
Permit No.... 1 0
Employing Plumber's Name
Location and Legal Description Lot
Amount of Permit $ .�
MIAMI SHORES ILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
No
2-
Size Septic Tank__ Type of Tank- --- ---- - - - - -.
Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well
Nature of Water Supply: City —We1L Size of Somkage Pit
(Signed) -1( 1/SY SF-o ei , )" 1
(Signed)
11 32—oS v? 69
e
7 4 C:
3
Application is hereby made for the approval of the detailed statement of the plane 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 et
building during progress of work. 1
Owner's Name and Address 0r r 1 e. 1) za be
Registered Architect and/or Engineer_A aTIO vi: Vowe
•
2o 1S - � /U � 1 lS"
Subdivision .___— ._.__
Street_ llL.LE" . :7 •S71
Block
Street and Number where work is to be performed —No 12 9 � ' E • 1 7 St.
.
State work to be performed and purpose of building (By Floors) _3 ` 8 S' 1
New Building.._.._ —_.._ _.. Remodeling___......_. -- Addition..._ - - -_ _ _ Repairs No. of Stories. .
Street...42�__� 1 7 . Sr..
Capacity Gals.•._..._.-.— _ ._ —.._
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and Ilrr 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 air
required by t}ie Act. The undersigned agrees to employ only such sub- contractors, on work - � � purl» as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA, I µ
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. Plotary Public, State of Florida at Largo
Idy Commission Expires January 2ti, 19
.Boadetl
My Commission Expires I Stmt of Florida
NOTE: A re- inspection fee of $1.00 will be made when swab misspeaks M made•neoessmy by 'swayer mention fee inspection, or faulty
materials and /er workomamahip.