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438 NE 96 St (10)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect 'Contracto or Builder Legal Descriptio Address Building a CONTRA C"rvet OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT 'N° 11184 Work to be performed under this 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. , Jr BY Signed: INSP i f , . r - .. f s� r, 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. BY DATE Contractor's License No 195 AUTHORITY r Lot n Bl. Subdi- vision f r , s°'" Value of Project $ Amt. of Permit $ r �" BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect 'Contracto or Builder Legal Descriptio Address Building a CONTRA C"rvet OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT 'N° 11184 Work to be performed under this 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. , Jr BY Signed: INSP i f , . r - .. f s� r, 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. BY DATE Contractor's License No 195 AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194 _'`' PERMIT N9 3401 Work to be performed under this Permit Contractor's License No. 1h,F r P nrtll n y . 11 olr are (atii.LI C 'i. •. 1 j.::ii W of f.O jr.i:,,OrI Board - -beiofes e wo.b ailt;Ior'i d in this permit. Architect_ Contractor or Builder Legal Lot Bl. Description - Address of 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 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 regula- tions 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. Subdi- vision Value of Project Amt. of Permit CONTRACTOR OR BUILDER BY F' AUTHORITY Permit No. -' Application is Lereby 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 he kept 4 building during progress of work. ( ,�,� Owner's Name and Address . Registered Architect and /or Engineer Employing Plumber's Nanie i t Location and Legal Description Lot CONTR. LIST CHECK CONTR. LIST CHECK Size Septic Tank______ Feet of Drain Tile_____ Nature of Water Supply: City —Well CLOSETS SEPTIC TANK BATH Tues SEWER CONN. SHOWERS DRAIN FIELD LAVA- TORIES MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT SINKS SOAKAGE GREASE PIT TRAP 131.oclfc SLOP SINKS LAUNDR TUBS - — - -- — (Signed) (Signed) Street and Number where work is to be performed— Noerf'_ c _. Street_._ State work to be performed and purpose of building (By Floors) A \ New Building Remodeling ____ Addition __ __ __ Repairs -,F ._ No. of Storks URINALS SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL Type of Tank Dist Feet of Tank or Drain Field from Well Size of Soakage Pit. Date. - Street Street Subdivision CATCH FLOOR DRINKING BASIN DRAIN FOUNT'N5 Capacity Cals. My Commission Expires Notary Public, State of Florida TOTAL Amount of Permit $ Plumbing I 1 pector. The undersigned applicant for this'iitilding permit does hereby certify that he derstands and accepts his ohligatioryv!isan emp %yer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled C�,L�neral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all gOntractors or sub - contractors employed by hint 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 an licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to nie 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. FIXTURES Permit No..____, 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 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 ____________ — _— ___________-- _____— No. ____ —____ Street__ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed—No _______ ______— ____— _i___________ ____ Street State work to be performed and purpose of building (By Floors) New Building___— ______ Remodeling _______________________ Addition_. Size Septic Tank___ Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ APPLICATION FOR PLUMBING PERMIT The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT _Block 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. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) – = - - - -- — - - - - -- ----------------------------- _ Master Plumber. 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. 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 SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No..____, 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 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 ____________ — _— ___________-- _____— No. ____ —____ Street__ Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed—No _______ ______— ____— _i___________ ____ Street State work to be performed and purpose of building (By Floors) New Building___— ______ Remodeling _______________________ Addition_. Size Septic Tank___ Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ APPLICATION FOR PLUMBING PERMIT The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly ss. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT _Block 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. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are (Signed) – = - - - -- — - - - - -- ----------------------------- _ Master Plumber. 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. 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. Permit No My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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 Plumber's Name ____ _ .f '_ — _ � "t s` No. /_/"; ___,___ Street__,4, fir' &✓� -' G ��._. -1 i `= — No.= _..�_ �i — F Street' i Location and Legal Description Lot —_ _ fr _ _____— __ —___— _S_ ` ____Block 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 Subdivision__ Street_------_-_ -- Size Septic Tank___, ______________— ______ Type of Tank . Capacity Gals.__ Feet of Drain Tilk<< =� - -- - �'- - ---__ Dist. Feet of Tank or Drain Field from Nature of 'Water Supply:` ity —Well —__— — .Size of Soakage Pit Amount of Permit $_ (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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)• f ( 1 � ' d � Mastgy,I lumber. Notary Public. State of Florida STATE OF FLORIDA, COUNTY OF DADE. ss' 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 SLOP SINKS LAUNDRY - rues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 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 Plumber's Name ____ _ .f '_ — _ � "t s` No. /_/"; ___,___ Street__,4, fir' &✓� -' G ��._. -1 i `= — No.= _..�_ �i — F Street' i Location and Legal Description Lot —_ _ fr _ _____— __ —___— _S_ ` ____Block 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 Subdivision__ Street_------_-_ -- Size Septic Tank___, ______________— ______ Type of Tank . Capacity Gals.__ Feet of Drain Tilk<< =� - -- - �'- - ---__ Dist. Feet of Tank or Drain Field from Nature of 'Water Supply:` ity —Well —__— — .Size of Soakage Pit Amount of Permit $_ (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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)• f ( 1 � ' d � Mastgy,I lumber. Notary Public. State of Florida STATE OF FLORIDA, COUNTY OF DADE. ss' 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. BUILDING ELECTRICAL PLUMF3ING Owner of Building Work to be performed under this Permit Architect Contractor or Builder Legal Lot .B1. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3616 Subdi- vision Value 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• B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances - tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY Permit No Owner's Name and Address _______;'.t Location and Legal Description Lot_ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Size Septic Tank_, __ — —_____ Type of Tank . Capacity Gals.__— r Feet of Drain Tile`_` ' _ ' I —___ Dist. Feet of Tank or Drain Field from Well__________ Nature of Water Supply: City —Well Size of Soakage Pit / — -- – — -- - - -- (Signed) (Signed) , Date - - - - -- .,L_----- - - 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. _ Street / r Registered Architect and /or Engineer f Employing Plumber's Name ______;,./ __, -. __— __ -.!_� ,, d # ' ' • — __ No. __ i _ Street_�'____rt __ 1 _ .4- r� ' t�.. -• d/f " __Block_ Street - – – — — — -- – - -- - - -- Notary Public. State of Florida No. of Stories Mastgr,,F;umber. Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 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 SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No Owner's Name and Address _______;'.t Location and Legal Description Lot_ Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit; and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 Size Septic Tank_, __ — —_____ Type of Tank . Capacity Gals.__— r Feet of Drain Tile`_` ' _ ' I —___ Dist. Feet of Tank or Drain Field from Well__________ Nature of Water Supply: City —Well Size of Soakage Pit / — -- – — -- - - -- (Signed) (Signed) , Date - - - - -- .,L_----- - - 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. _ Street / r Registered Architect and /or Engineer f Employing Plumber's Name ______;,./ __, -. __— __ -.!_� ,, d # ' ' • — __ No. __ i _ Street_�'____rt __ 1 _ .4- r� ' t�.. -• d/f " __Block_ Street - – – — — — -- – - -- - - -- Notary Public. State of Florida No. of Stories Mastgr,,F;umber. Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on work to be performed under this permit, as are 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3616 Work to be performed under this Permit Bl. Subdi- vision DATE Contractor's License No. WARNfriC: This ('p -cfr . +,- ITA tr:rfiril■ g e ' al x aNtrioNz in Value of i Amt. of Project Permit CONTRACTOR OR BUILDER BY AUTHORITY 194 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 tima 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 regula- tions 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.