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PLUMBINGCLosrra 1 7 u A T H SHOWIR• TO:IAIII I SINKS SLOP SINKS LAUNDRY Tuns URINALS CATCH BASIN FLOO R DRAIN RKING DIN FOUNT'NS 1 1 TOT.-L FIXYL RES CONTR. LIT — CHECK 1 SEPTIC TANK SEWER CONN. DRAIN FI(LD SOAKAGE PIT GREASE TRAP SOLAR H DEEP WILL SPRKLR. SYSTEM SWIM'CI POOL ..... I ...... COnrric. LIST — -- ir-- h--..- ---! CHICK --- Penni: No...o?"..3.a/ig- pltun is 1,ereby made for the approval of the detailed statement of the plans and specifications herewith subri;!...-1 for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mlz. • Shores Village, Florida, 4,-.(1 all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec. fications must be kept at ')uilding during progress of work. John Yeats '.)wner's Name and Address No. 1260 NE 99 Street__ . .egict !red Architect and/or Engineer employing Plumber's Name° ,G.Lloyd aeptis Tank Ser. N 800 NY 111 Location and Legal Description Lot Block Street and Number where work is to be performed—No 1260 NE _29_ Street State work to be performed and purpose of building (By Floors) ... _ ..... ...... New Building Remodeling — Addition Repairs Size Septic Tank__ ___ Type of Tank 2 ft Feet of Drain Tile. 00 sq. . _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit - • _ ....... Amount of Permit $ 0 STATE OF FLORIDA, ss. COUNTY OF DADE. My ConimissicmExpires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Capacity Ads (si kAtOCO (Signed)._ Date.D.ecemb.0_29., StreetMiami . Notary Public, State of Fkgida 33168 • ..... No of Stones .... . Plumbini Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an endloyei of /oho under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent rup lement, and Iva. .1 with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 1 y him In e ‘ai fir e verfcnned under this permit; and will post or cause to be posted' for inspection on the site of the work such pub': notice T. no icier .4s a? required by the Act. The undersigned agrees to employ only such sub-contractors, • . k to be perfo •ka this . licensed by Miami Shores Village. MIUBA Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. perim..; ppearen • 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. NOTE: A re-inspection fee of $1.00 will be made when such re4nspection is mede•necessary by improper notice for insper.t!on, limit, materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot n CONTRACTOR OR BUILDER o MIAMI SHORES ,VILLAG, FLORIDA DATE PERMIT N? 1°1925 Work to be performed under this Permit BL Subdi- vision Value of Project $ Contractor's License No i Amt. of Permit $ ,r BY AUTHORITY 195 This permit is granted to the contractor or builder named above to conBtruct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough- knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements' or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ❑ 0 PERMIT N9 CONTRACTOR OR BUILDER/ MIAMI SHORES VILLAGE. Bl. 8875 Subdi- vision FLORIDA Work to be performed under this Permit Sq. Ft Value of Project $ 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 statii or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR DATE i 'a 195 — Contractor's License No Amt. of Permit $ In considerati of the issuange to,,d AA this ermit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict atinfOrmit ' with th pl s, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. , In accepting this peri ii I ssu a y�s sibitity f ,, all' work done by either, myself, my agent,, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. __ t 015 1.— Date ti s / - ?.6./ t Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied ,with, whether herein specified or not A copy of approved plans and specifications must be kept al building during progress of work. l // qo Owner's Nam 6/ 1r e and Address .r • I S II�_e T No.{ )-LO _ Q Street_/t r e I I YI ' Registered Architect and /or Engineer Employing Plumber's Name C, • N __ 1L-_I__lli .___.-- _. No )Th Block_- - - - -__ --- __.-- ____ -_ Subdivision II Street and Number where work is to be performed —No ___1.1 C2Sb __. _.____.____.__ Street_- _- St • State work to be performed and purpose of building (By Floors)_... New Building Remodeling Addition_ s 5 / Location and-Legal Description Lot.____ Amount of Permit $ My Conunission Expires (Signed)._ Stree elrrP Notary Public, State of Florida f 'Stories •--- -� Size Septic Tank Type of Tank__— Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applic• for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workm s Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent Supplement, and has com- plied with the provision ereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this p rmit; 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) - Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all far' 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 faul aterials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N5 TOTAL FIXTURE: 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 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. __ t 015 1.— Date ti s / - ?.6./ t Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied ,with, whether herein specified or not A copy of approved plans and specifications must be kept al building during progress of work. l // qo Owner's Nam 6/ 1r e and Address .r • I S II�_e T No.{ )-LO _ Q Street_/t r e I I YI ' Registered Architect and /or Engineer Employing Plumber's Name C, • N __ 1L-_I__lli .___.-- _. No )Th Block_- - - - -__ --- __.-- ____ -_ Subdivision II Street and Number where work is to be performed —No ___1.1 C2Sb __. _.____.____.__ Street_- _- St • State work to be performed and purpose of building (By Floors)_... New Building Remodeling Addition_ s 5 / Location and-Legal Description Lot.____ Amount of Permit $ My Conunission Expires (Signed)._ Stree elrrP Notary Public, State of Florida f 'Stories •--- -� Size Septic Tank Type of Tank__— Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from WeIL Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applic• for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workm s Compensation Act, being Section 5966, Compiled General Laws of Florida Perinanent Supplement, and has com- plied with the provision ereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this p rmit; 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) - Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all far' 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 faul aterials and /or workmanship. e.- 0 SeT CL-osTr Ftue Architect Contractor_, or Builde Legal Lot Description Address of j� Building BI. gve MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL. 1 i PERMIT N? 11746 PLUMBING ROOFING 1 Work to be performed under this Permit__ Owner of i tow Building Subdi- vision Value of Project $ BY DATE 195 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 applfcat qn herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked a 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 pei'tei granted is the understanding that the contractor or builder named above assumes the responsibili for a thorough knowledge of the ordinances aid regulation pertaining to the work covered hereby whether shown on the plans or draw or i he state ts or specifications and that he ass , s sibility for work' done by his agents, servants or employees. Signed. BY IN 'ECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all or mances 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 'ther, myself, my agent, servant or employee. �* e PLma#'c.. CONTRACTOR OR BUILDER AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building El Architect Contractor or Builder Legal Lot BL Description Address of Building 1 t � ry . 1 `� . CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT 'N ?. 12548 ❑ Work to be performed under this Permit • Subdi- vision Value of Project $ If • DATE / 2 Contractor's License No Amt. of Permit BY " AUTHORITY 195 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. 1' Signed• t BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • ' Permit No 7 ti" 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 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 1 V ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date .l t ___1 No Street Registered Architect and /or Engineer _ Employing Plumber's Name 3 ' i ' ' No ' : Street Location and Legal Description Lot__ _L '' r, L 1 W iS 19' _ Block " Z.- Subdivision Street and Number where work is to be performed —No /'' Street w, / ' State work to be performed and purpose of building (By Floors) . New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well______________________ _______________________________ --------------------------------------- Nature of Water Supply: City—Well Size of Soakage Pit ( 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. � I ; Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS 4)'' s, •p: ,. e'/ . f, eA,;. TOTAL FIXTURES CONTR. LIST / CHECK ..� D ` r � ` °� ,•" • ) � ` 7 J SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT • GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL ' C 4 ° /,•:: ,, r 1 CONTR. LIST / ! rl f. ^ ., °-� CHECK Permit No 7 ti" 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 Amount of Permit $ STATE OF FLORIDA, 1 COUNTY OF DADE. 1 V ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date .l t ___1 No Street Registered Architect and /or Engineer _ Employing Plumber's Name 3 ' i ' ' No ' : Street Location and Legal Description Lot__ _L '' r, L 1 W iS 19' _ Block " Z.- Subdivision Street and Number where work is to be performed —No /'' Street w, / ' State work to be performed and purpose of building (By Floors) . New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well______________________ _______________________________ --------------------------------------- Nature of Water Supply: City—Well Size of Soakage Pit ( 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. � I ; Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. Permit No Date Application is hereby made for the approval of the detailed statement of the plans 4nd 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. 4 Owner's Name and Address -4 )' ' $ 4 •0 -'T ` ' r t' � No Street Registered Architect and /or Engineer Employing Plumber's Name Size Septic Tank___ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. ll MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No._ ___ 0 ! • _1_- r Street State work to be performed and purpose of building (By Floors) New Building ____ Remodeling Addition_ _ Repairs No. of Stories Type of Tank ®� No � - Street Capacity Gals' Feet of Drain Tile / 0 t` ) s Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —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 perforned 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) J 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 fo regoing 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. r Master Plumber. 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 4nd 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. 4 Owner's Name and Address -4 )' ' $ 4 •0 -'T ` ' r t' � No Street Registered Architect and /or Engineer Employing Plumber's Name Size Septic Tank___ STATE OF FLORIDA, 1 COUNTY OF DADE. ss. ll MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No._ ___ 0 ! • _1_- r Street State work to be performed and purpose of building (By Floors) New Building ____ Remodeling Addition_ _ Repairs No. of Stories Type of Tank ®� No � - Street Capacity Gals' Feet of Drain Tile / 0 t` ) s Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —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 perforned 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) J 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 fo regoing 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. r Master Plumber.