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PLUMBINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date.O II (' ) Time ;7 TypeInsp'n )0k 1' Permit No. P1 2003 — LL( Name Ep5i- Address t o s/) qg Approved Correction Re- Insp'n Fee Company Phone # For Inspector: I Y 0 Date Type Insp'n Permit No. Name / .— .. -.x—. �. i os 8 r1 . € . " ` 8 J , Address I Com.: n •. . - ,.._. Phone # \ L For Inspector:' O ) 2.3i '3 `Nme & Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques, 0 ime Z09_3 o o OWNER'S NAME ./ ./. ,� -(0e, A/� PRESENT ADDRESS /or'8 � I_ E- Sep J r. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR / AVE.) /0 „ N• G • ? �D ,7 LOT / BLOCK /8'O SUBDIVISION ( AAHrn t slfJP�i: s J:7 c7 2°' CP GENERAL ONTRACTOR 2.. beg r4 f R F/,► G f}-c! ADDRESS PHONE NO. LICENSE NO. /3 93G- r� BUILDING PERMIT NO. // / r / 9 DATE ,/ �" Ly cs PERMIT FEE S / BUILDER'S BOND NO. c ` DATE AQ © •7 / ZONE REQUIREMENTS CU. FT. a...6. crr.,; J 6 if /Air rw fia PLAN CUBE iCEr CU. FT. 7 d .. EST. COST S ■ a r j/�' DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: �• /1"-- rEf'" -(2 I DATE NEW CONSTRUCTION TY PE � ,�5 STORIES ROOF CONSTRUCTION ,� c . INTERIOR CONSTRUCTION 1 � Ey- , sr,A'4 DESCRIPTION REPAIRS L a G G .../ /Jizc.-+ i A/r t -t o2.iJ/� 1 2 - CS,C11>,.sc ALTERATION I DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SURMITTFr) TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY I TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION BY ROOF SEPTIC TANK FEE BEAMS & LINTELS $ POOL $ TUB & TOP OUT FRAMING SOLAR HEATER $ AIR COND. $ GAS FINAL MOTORS $ CLEAN UP $ FIXTURES SLAB SEPTIC TANK $ SLAB SOLAR HEATER - SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS $ $ FIXTURES 5 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT $ RANGE CONN. H. W. HEATER CONN SEWER MOTORS $ FIXTURES SEPTIC TANK $ 5 SOLAR HEATER - FIXTURES & FINAL FIXTURES GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. H. W. HEATER CONN $ MOTORS $ FIXTURES $ 5 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT' BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS ° CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING I DATE I ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE PERMITS & INSPECTIONS ADDITION ELECTRICAL PERMITS & INSPECTIONS PHONE FEE $ REPAIRS BY MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re Date D I >�,10\ Time Type Insp'n Permit No. L 03 -\ Name Address 0 d C . 9, 8_A, Compa Phone # For Inspector: / 1 /93 Approved Correction Re-Insp'n Fee Date )(fA, MIAMI SHORES VILLA BUILDING DEPARTMEN 305- 795 -2204 Tilding Inspection Request Date Time Insp'n lIroI (Ccr d - 0 fri Permit No. r 1 c2-00 Name e Fs-l-1 rN Address C 38 1 E C l S ' Company d JrQIt n l C11J -b I Phone # For Inspector: 1'4 itt/ Approved Correction Re- Insp'n Fee ate "":0. 7 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / 11 Time Type Insp'n Permit No P■ cLW3 -1b4 Name 1'C \e Y J OS ll� Address 1 US h 1" J Company Phone # Approved Correction Re- Insp'n Fee For Inspector: 1 1 p...K BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) Owner's Address (Q S S‘ t) 42 -*/ � 1 CC City \ --1 State "li Qrtir-- ) Tenant/Lessee Name Job Address (where the work is being done) \ s.1 City Miami Shores Village County MiamiiDade 3 3•4 Is Building Historically Designated YES NO Contractor's Company Name .X 1 412k ' Phone # Contractor's Address Address 1v" * 141 %.- ' l t.4 —(• City I--- -1 I ,n, State 1 Zip "M 3F0 I. ' Qualifier ��,�,11 Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State $ Value of Work For this Permit '5 Miami Shores Village Building De Number of: Bays Stories Famil es Type of Work: ❑Addition DAlteration [New Describe Work: County Escrow Fee $ Education/Training Fee $ Code Enforcement $ Minus Plans Check Fee $ Bond Permit e D c(I' xo o Te l $ Scanning $ Struct. $ Total Fee Now Due $ JUL 1 2 03 Me aafing Square Footage 0. Bedrooms , Pe ne Notary mit No ; O: /g5 Master Permit No. _ 1 b I 1 1 Zip 33% Phone # 1 N d. Avg e a te .• Florida 33138 ? . 795.2204 Fata (305) 756.8972 edonoi 1� 4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved an • e y pection fee will be charged. i -`- Signature / _ I 0 Signature ■ Owner or Agent Contractor The fore in instrument was acknowledged before me this The foregoing instrument was acknowledged before me thi day of , 20/3 , by 7/74. V 1 G F,� /.e / {r , day of , 20 ff 3 , by who is perso ally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. `� g -3/W � identification and who did take an oath. NOTARY P C , . NOTARY PUBLIC: N � Y 1'� I LA0Ys VILL SEAL Sign: Sign: OAP 6� GLADYS J VILLAR f l2 T � ` ;-1 !' 1 i ' CA. ISSION NUMBER Print: < N . � i ter. 4 1)1)091094 Print: My Commission Expires: '',',, u c' •'J COMMISSION EXPIRES F F�c MAR 1,2006 - ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** chc7/7 /03 APPLICATION APPROVED BY: L r:OTARY SEAL t,.JDYS J VILlAR ...II: ! 31CN NUMBER 1,3091094 Yr F ^ U:MMISS!ON EXPIRES My Commission Expire diAR. .2006 Plans Examiner Engineer Zoning INSTRUCTIONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. CONSTRUCTION PERMIT FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent AGENT: Property owner's legally authorized representative. MAILING ADDRESS: P.O. Box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID #: 27 character id number for property. (CHD may require property appraiser ID It or section/township /range/parcel number) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter 64E-6, FAC. DRAINFIELD: Minimum specifications from Chapter 64E-6, FAC. OTHER: Other specifications, such as operating permit requirements, low- volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Health Department (CHD) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CHD r EXPIRATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued. CONSTRUCTION PERMIT FOR: ( J] New System [t] Existing System [ I] Repair [ A ��A��bandonment r PROPERTY ADDRESS: 1 0 3 0 , 6 , 2R- S / • / APPLICANT: LOT: 1 (4 PROPERTY ID #: 1A 32 — 0/ - 03 SYSTEM DESIGN AND SPECIFICAT ONS t'°.�.l�t, /S ) L1 G�� L, s C �/ Qua s1( -1 hw j T [ ®] GALLONS / GPD SEPTIC TANK /AEROBIC UNIT CAPACITY A [ ] GALLONS / GPD CAPACITY N K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @ [ D R A I N F I E L D 0 T H E R LOCATION OF BENCHMARK: 1 I - 3O P , (. './ 1 F— j • ��' �/ ° ELEVATION OF PROPOSED SYSTEM SITE [24;, ft)] [INCHES /FT] BOTTOM OF DRAINFIELD TO BE [S ? u/] [INCHES /FT] FILL REQUIRED: [0 01^4 ] INCHES SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: 7/ Of 0 3 DH 4016, 12/99 (Page 1) (Previous Editions May Be Used) BLOCK: 1 I( 0 () STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT 0 Holding Tank [ P] Temporary • s 1 r TITL$ TITLE: Cj ] Innovative [ 6° c� 33/ 3• SUBDIVISION: l / /emu � r Ve S PERMIT NO. t ) ?c) 1 DATE PAID: . .. g -. 0 FEE PAID: 7,\ RECEIPT #: 5;6 3 O (u / [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. MULTI- CHAMBERED /IN - SERIES [(] MULTI- CHAMBERED /IN- SERIES [ ] [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] ] DOSES PER 24 HRS # PUMPS [ ] (3 0 0 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM [ _ ] SQUARE FEET SYSTEM TYPE SYSTEM: [v] STANARD [ ] FILLED [ ] MOUND [ ] CONFIGURATION: [ ] TRENCH [' BED [ ] EXCAVATION REQUIRED: [3 ] INCHES [ABOVE /BELOW] BENCHMARK /REFERENCE POINT, [ABOVE /BELOW] BENCHMARK /REFERENCE POINT t4 EXPIRATION DATE: pt. 1: Heal) Department pt. 2: Applicant pt. 3: Installer /Contractor pt. 4: Building Department Page 1 of 3 r <. Y C1 5 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: C S�� ( , AGENT: � � f I ►-� [--� +� S'�`�r�� LOT: t b BLOCK: c c ) SUBDIVISION: r t ©i 71 .i/1172e- PROPERTY ID #: II _ .gzv5 , U (.c"t);, C) [Section /Township /Range /Parcel No. or Tax ID Number] S t✓_- G Si (�" TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: L 1 YES [ NO NET USABLE AREA AVAILABLE: °Z v ACRES TOTAL ESTIMATED SEWAGE FLOW: L7 C.7 GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] AUTHORIZED SEWAGE FLOW: S (--) U GALLONS PER DAY [1500 GPD /ACRE 2500 G atE] UNOBSTRUCTED AREA AVAILABLE: LA--0C) SQFT UNOBSTRUCTED AREA REQUIRED: O v SQFT BENCHMARK /REFERENCE POINT LOCATION: \ 1/1 (c t--F � CCU —� -' I 1 '-z_; rr L, . ELEVATION OF PROPOSED SYSTEM SITE IS �-..Y [ THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE SURFACE WATER: ►- v FT DITCHES /SWALES: WELLS: PUBLIC: FT LIMITED USE: r---c) FT BUILDING FOUNDATIONS: 10 FT PROPERTY LINES: Munsell # /Color Texture Depth 1 [� �L� d,. to ` ,L) r �fOh - toL l� to to to USDA SOI MIL to� l, 1 VY1C =r1r7 ~--e to Z SERIES: L- k1 SITE EVALUATED BY: DH 4015. 10/96 (Replaces HRS -H Form 4015 (Page 3] which may be used) (Stock Number: 5744 - 003 - 4015 -1) SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ Ns 10 YEAR FLOOD ELEVATION FOR SITE: 10 YEAR FLOODING? [ ] YES [1 FT MSL /NGVD SITE ELEVATION: G ' 1• FT MSL /NGVD SOIL PROFILE INFORMATION SITE t } 3 .. S mei _SOIL PROFILE INFORMATION SITE 2 Munsell # /Color Texture 10 SS vh 8S'r NIL USDA SOIL SERIES: L) pi Dep C ) to toL ��( to th to to to to to to - 7z OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: j..) INCHES [ ABOVE / HIGH WATER TABLE VEGETATION: [ ] YES [ O MOTTLING: ] YES ( NO I ] (ABOV ,BELOW] BENCHMARK /REFERENCE POIN; PROPOSED SYSTEM TO THE FOLLOWING FEATURES: FT NORMALLY WET? [ ] YES [ v]'?gi PRIVATE: FT NON- POTABLE: FT IL) FT POTABLE WATER LINES: - 15 FT PERCHED / APPARENT] LOW EXISTING GRADE. DEPTH: INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: _—� DEPTH OF EXCAVATION - ( DRAINFIELD CONFIGURATION: [ ] TRENCH •[D [ ] OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: �-�-p A I v - - ta 1 - 5 - - C J �.2.+"1 ► --- .-0-Ax..) �- * ( u ca 0 c) c hn ) I o r-) can 23.---- 3 U c.) c —C �- er (,.-- , �.a- u -- V,.) G-k - --C„�" c, Jc r (( !� Page 3 of . • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No .......1 _21 Date..._.._.._ 5 -18-70 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 ordinance of Miami Shores Village and all rules and regulations of the Building Division of Miami Shore 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. J.Moreno No. Owner's Name and Addreu 1058 N.F. 98t1istreet sr _ ....�..___._ �._._ ._. ._._..._ - N N.E. _._... Registered Architect and /or Hose Septic Tank Co. P.O.Box Hialeah Employing Plumber's Name ._ o..._... _ ._ Street.. Location and Legal Description Lot.._...__. Blonti .._._._ _.__.. Subdivision Street and Number where work is to be performed — No. 1058 N.E. 98th street Street State work to be performe8 and purpose of building (By Moon)._ New Building Remodeling Addition Size Septic Tank_ —Type of Tank _ __ Feet of Drain Tile. _.._.__.__Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit $- " • 00 STATE OF FLORIDA, } COUNTY OF DADE. (s+gmd) ...1L Repairs. No. of Stories . . ................_... Plumb In tor. 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 6988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed .by Miami Shores Village. (Signed) Capacity Gals. 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 Pint 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 snob r - lnspeotlon is mode necessary by improper notice for inspection, or faulty materials and /or walananahip. CLOSETS TUBS TUBE SHOWERS LAVA. TTORIES SINKS SLOP SINKS LAUNDRY Tuns UR 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 SW IM'e POOL CONTR LIST 25 1 - -- CHECK 1 • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No .......1 _21 Date..._.._.._ 5 -18-70 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 ordinance of Miami Shores Village and all rules and regulations of the Building Division of Miami Shore 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. J.Moreno No. Owner's Name and Addreu 1058 N.F. 98t1istreet sr _ ....�..___._ �._._ ._. ._._..._ - N N.E. _._... Registered Architect and /or Hose Septic Tank Co. P.O.Box Hialeah Employing Plumber's Name ._ o..._... _ ._ Street.. Location and Legal Description Lot.._...__. Blonti .._._._ _.__.. Subdivision Street and Number where work is to be performed — No. 1058 N.E. 98th street Street State work to be performe8 and purpose of building (By Moon)._ New Building Remodeling Addition Size Septic Tank_ —Type of Tank _ __ Feet of Drain Tile. _.._.__.__Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit $- " • 00 STATE OF FLORIDA, } COUNTY OF DADE. (s+gmd) ...1L Repairs. No. of Stories . . ................_... Plumb In tor. 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 6988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed .by Miami Shores Village. (Signed) Capacity Gals. 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 Pint 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 snob r - lnspeotlon is mode necessary by improper notice for inspection, or faulty materials and /or walananahip.