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PLUMBINGMIAMI: 758 -477B BROW ARD: 525 -5970 • HARRI5 CmnylN. R.Nd.ntlal n1 70130 N. E. 41r AVENUE MIAMI. FLORIDA Miami Shores Building Department Mr. Bradford, Chief Building Inspec or Miami Shores, Florida Dear Mr. Bradford: STF:bb September 29, 1969 RE: J. Lorido 265 North East 96th Street Building Permit # 11473 Den Addition As per our telephone conversation of September 29, 1969 at approximately 5:45 P. M., this letter is to inform you a a drafting error on the above mentioned building plans. Approved plans show 3" x 8" at 24" on center with 1 x 2 striping and plastered ceiling. We wish to change this to 2" x 8" at 16" on center with one row of bridging. Sheathing is shown as 1" x 8" T & G V joint and we wish to change this to 1" plywood. Very truly yours, HARRIS REMODEING CORP. S. Thomas Fi.,ischer Engineer "FLORIDA'S QUALITY REMODELING AND ADDITION SPECIALISTS" RESIDENTIAL I NDUSTRI AL COMMERCI AL CHECK Permit No 777 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t e 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 Daz-Lco_ *I Registered Architect and/or En & A ..2....) i WV Employing Plumber's Name__ _ * 4 i o t Street_ JA...) - 1 CIAI Location and Legal Description Lot_ I C g -1- Il l' I _ Blocic_ 0 vision ..... Street and Number where work is to be performed—No—________ID___ ___ ..... __. Street saii_ . et co r __ State work to be perfo d and purpose of building (By Floors)_ _ _ ___ _ Size Septic Tank Feet of Drain Tile ------- ....... -- Amount of Permit $ New Building Remodeling Addition Repairs No. of Stories. Nature of Water Supply: City—Well.____ ....... _ ----- --- of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank. Capacity Gals __Dist. Feet of Tank or Drain Field from Well (Signed)_ (Signed). PZYMV aPPZa No. 1 S Street. 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 Pertnanent 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 licensed by Miami Shores Village. Date 5 7 _.-9e Plumbing Inspector. Master Plumber. STATE OF FLORIDA, } as. 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 T BATH L SHOWERS T LAVA- S SINKS S SLOP 4 404.11tDr C URINALS B CATCH F FLOOR D DRINKING T TOTAL CONTR. ,.... 1 CHECK SEPTIC S SEWER D DRAIN S SOAKAGE G GREASE S SOLAR D DEEP S SPRKLR. S SWIM'G L LA, • CONTR. LIST 1 1 Permit No 777 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t e 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 Daz-Lco_ *I Registered Architect and/or En & A ..2....) i WV Employing Plumber's Name__ _ * 4 i o t Street_ JA...) - 1 CIAI Location and Legal Description Lot_ I C g -1- Il l' I _ Blocic_ 0 vision ..... Street and Number where work is to be performed—No—________ID___ ___ ..... __. Street saii_ . et co r __ State work to be perfo d and purpose of building (By Floors)_ _ _ ___ _ Size Septic Tank Feet of Drain Tile ------- ....... -- Amount of Permit $ New Building Remodeling Addition Repairs No. of Stories. Nature of Water Supply: City—Well.____ ....... _ ----- --- of Soakage Pit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank. Capacity Gals __Dist. Feet of Tank or Drain Field from Well (Signed)_ (Signed). PZYMV aPPZa No. 1 S Street. 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 Pertnanent 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 licensed by Miami Shores Village. Date 5 7 _.-9e Plumbing Inspector. Master Plumber. STATE OF FLORIDA, } as. 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. .1 q ' v. io a..q.-0 "F". 64 Cc 1 E — 1" • A, Y 3/4 - r. Ce-ez-A-0 E - - ro tz—raz E C..-11- a- ‘ ihk. - 40 _ rte- -11 4- “ A, — ("... S '. H- ,;-4 j 7 4:4 "rc., t evit-„ a 0 —, Zip — 1 E - i r, 4 a f t �,• (v µ •.._1t_„ s J I C i 0 6.4 A- i•-• r,..... Ct , Lei €1L.1, s -r .4 4s - .to 0 O F1d A4 uIF for 0 BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA _ ,z � ELECTRICAL ❑ Date 19 _. PLUMBING lit PERMIT N? 10179 Contractor's 7 c:) License No. 1 ROOFING ❑ ❑ Work to be performed under this Permit Owner of 1 Building i L_ 0i J I 1.. a L 4...y.4 Iiit'.c • t ,Ik L 'C- /♦xl tJ Architect 1444)c V 1." Contractor Pe. Legal Lot 1 Description � � BI Address of t C-1 4/- - 1 ' r Building 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 dr gs or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or mployeeb. f i ! Signed: A" 1 • +. 1.4. - - +• ECTOR) BY In consideration of the issuance to me of this permit I agree t. t-rform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, - ments or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume regp{onsibility for all work done either, myself, my agent, servant or employee. CONTRACTOR or BUWJDE Subdi- vision Sq. Ft. _ 1 _ �?.. Amount of Permit $ Project $ BY AUTHORITY Permit No. _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Ad ss work. L - -- • - - -- _____ _ -4� 1 No.______— _________ Street_ Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot_ - ___ - _ -- -___ - �_ Block _---- ___ -- Subdivision--- _----------- ____._ __... Street and Number where work is to be performed —No ....a4.5121 Street State work to be performed and purpose of building (By Floors) New Building ___ Remodeling_ -- ____ -_ Addition_ Size Septic Tank 7 Feet of Drain Tile . Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $------------ ------- -- ----- __Type of Tank_ Date --- - -i -_ l 1 - - Street_ Repairs No. of Stories. Capacity Gals _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 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) ____ ii,:_ _C4 My Commission Expires Notary Public, State of Florida aster Plumber. 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 improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS N SLOP SINKS LAUNDRY TUBS I NALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK _—_ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWING POOL CONTR. LIST CHECK Permit No. _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Ad ss work. L - -- • - - -- _____ _ -4� 1 No.______— _________ Street_ Registered Architect and /or En Employing Plumber's Name Location and Legal Description Lot_ - ___ - _ -- -___ - �_ Block _---- ___ -- Subdivision--- _----------- ____._ __... Street and Number where work is to be performed —No ....a4.5121 Street State work to be performed and purpose of building (By Floors) New Building ___ Remodeling_ -- ____ -_ Addition_ Size Septic Tank 7 Feet of Drain Tile . Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Amount of Permit $------------ ------- -- ----- __Type of Tank_ Date --- - -i -_ l 1 - - Street_ Repairs No. of Stories. Capacity Gals _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 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) ____ ii,:_ _C4 My Commission Expires Notary Public, State of Florida aster Plumber. 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 improper notice for inspection, or faulty materials and /or workmanship. Permit No . `_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_ -.--- --- --- ------ ---- - - - - -- -Type of Tanit__ Feet of Drain Tile._ — -- -- - --Dist. Feet of Tank or Drain Field from Well - Nature of Water Supply: City— We1L--- _._--- ._.-- _-_- - - -- —_______Size of Soakage Pit STATE OF FLORIDA, } ss. COUNTY OF DADE. (Signed) (Si Date. 2_17 7 , S 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. Li?) Owner's Name and Address No.____ 26c 6 Registered Architect and /or Engineer 1 -- Employing Plumber's Name rNIA.t —__ .� �� C �Yr`'� lNo....— � .....: Sheet.:, :N , .<..Sl . .. Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building Remodeling__— — — Addition.----- .--- •----- -..... Repairs No. of Stories Bloch 5ubdivlsion. —..._ ? - - Street_ AE _.._ /__ ... S7 4 _'__1 4-Jac's .11eLA Capacity Gals .--------- -•__ -- -- _ -__ -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Isar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors empl . 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 sue . pu is notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on to be . • • under t J s permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer • : the 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such redaspaetioa is made.neoersary by improper notice for inspection. or faulty materials and /or workmanship. TOTAL FIXTURES CLOSETS BATH Tuea S H OWLRL RYA• Tomas 61NKL SLOP SINKS LAUNDRY Tul l U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NL CONTR. LILT CHECK SEPTIC TANK SEWER CONN. DRAIN F IELD SOAKAGE PIT G TRAP SOLAR H DEEP WELL SPRKLR. SYSTEM $WIM'O POOL CONTR. LIST CHECK Permit No . `_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank_ -.--- --- --- ------ ---- - - - - -- -Type of Tanit__ Feet of Drain Tile._ — -- -- - --Dist. Feet of Tank or Drain Field from Well - Nature of Water Supply: City— We1L--- _._--- ._.-- _-_- - - -- —_______Size of Soakage Pit STATE OF FLORIDA, } ss. COUNTY OF DADE. (Signed) (Si Date. 2_17 7 , S 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. Li?) Owner's Name and Address No.____ 26c 6 Registered Architect and /or Engineer 1 -- Employing Plumber's Name rNIA.t —__ .� �� C �Yr`'� lNo....— � .....: Sheet.:, :N , .<..Sl . .. Location and Legal Description Lot. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building Remodeling__— — — Addition.----- .--- •----- -..... Repairs No. of Stories Bloch 5ubdivlsion. —..._ ? - - Street_ AE _.._ /__ ... S7 4 _'__1 4-Jac's .11eLA Capacity Gals .--------- -•__ -- -- _ -__ -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and Isar com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors empl . 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 sue . pu is notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on to be . • • under t J s permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer • : the 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 be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such redaspaetioa is made.neoersary by improper notice for inspection. or faulty materials and /or workmanship. Permit No Owners Name and Address_ Registered Architect and /or Engle Employing Plumber's Name _ -- •_ �,�1� `� New Building �__-- -- - -- -- - - - -_ -- Remodeling Feet of Drain Tile STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ _ -_ _ __._Dist. Feet of Tank or Drain Field from Well. Date � _ 7.7 c Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di"sion 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. _ __ __ ._ _ _ M _.-- _..__._ No.7U'_/ _� Street _ - -- _ -- _ _ - - - No. _ s_ 9 s G�treet _ Location and Legal Description Block_ Subdivision_._ _ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) & i - .5/A4/. hC .AP A/'- Addition____ _ _ ___ ____ _. - Repairs_ No. of Stories _ _- Size of Soakage Pit (Signed) --..7 �G . Capacity Gals. _ Pkmb ng In ipecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his db1"igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, vnd I as - om- 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 no ices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo, ed under this per nit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 .acts 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 worlonanship. CLOSETS BATH TUBS TUBS LAVA- TORIES SINKS S SLOP SINKS LAUNDRY TUeB UR URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL F XTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST ,2.e■ .1- -- CHECK - 44 Gzc: - Permit No Owners Name and Address_ Registered Architect and /or Engle Employing Plumber's Name _ -- •_ �,�1� `� New Building �__-- -- - -- -- - - - -_ -- Remodeling Feet of Drain Tile STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ _ -_ _ __._Dist. Feet of Tank or Drain Field from Well. Date � _ 7.7 c Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Di"sion 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. _ __ __ ._ _ _ M _.-- _..__._ No.7U'_/ _� Street _ - -- _ -- _ _ - - - No. _ s_ 9 s G�treet _ Location and Legal Description Block_ Subdivision_._ _ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) & i - .5/A4/. hC .AP A/'- Addition____ _ _ ___ ____ _. - Repairs_ No. of Stories _ _- Size of Soakage Pit (Signed) --..7 �G . Capacity Gals. _ Pkmb ng In ipecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his db1"igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, vnd I as - om- 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 no ices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo, ed under this per nit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledge ents, personall 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 .acts 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 worlonanship.