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PLUMBINGPermit No..l�� Application is liereby 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. e Owner's Name and Address Registered Architect and /or E — Employing Plumber's Name ® )44,- - '� 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) ___..____._.__ N Building .__ Remodeling Addition.. Size Septic Teak_ ._- .------------- - - - - -- T ype of Tank Amount of Permit $ STATE OF FLORIDA, } u. COUNTY OF DADE. p a MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ,..,e,.,,..., � No, ..., � � �'» : Btxeet..L cv � y Bloch (Signed)_ Date ..._. 1_12e.4" ... No. cal Street 9'7 4 Subdivlsion.-_.-._._- Street. t t-. . e. Repairs No. of Stories Capacity Gals Feet of Drain Tile._S _ `_Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. — — ____-_-...Size of Soakage Pit Plumbing nspector. 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 k to be performed under this permit, as are licensed by Miami Shores Village. CU- (Signed) U 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 be 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 wham such no- Inspectfao M made by Improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH Tue. SHOW ER• LAVA• TORIES SINK• SLOP SINKS LAUNDRY TWOS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONT/I. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. UST ET CHECK Permit No..l�� Application is liereby 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. e Owner's Name and Address Registered Architect and /or E — Employing Plumber's Name ® )44,- - '� 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) ___..____._.__ N Building .__ Remodeling Addition.. Size Septic Teak_ ._- .------------- - - - - -- T ype of Tank Amount of Permit $ STATE OF FLORIDA, } u. COUNTY OF DADE. p a MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ,..,e,.,,..., � No, ..., � � �'» : Btxeet..L cv � y Bloch (Signed)_ Date ..._. 1_12e.4" ... No. cal Street 9'7 4 Subdivlsion.-_.-._._- Street. t t-. . e. Repairs No. of Stories Capacity Gals Feet of Drain Tile._S _ `_Dist. Feet of Tank or Drain Field from Well. Nature of Water Supply: City—Well. — — ____-_-...Size of Soakage Pit Plumbing nspector. 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 k to be performed under this permit, as are licensed by Miami Shores Village. CU- (Signed) U 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 be 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 wham such no- Inspectfao M made by Improper notice for inspection, or faulty materials and /or workmanship. Owner of ( Building Archit Contrac or Builder Legal Lot Description g ? CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 1 ELECTRICAL PLUMBING PERMIT N? 6894 Work to b rfortned under this Permit vim 11 Signed Subdi- vision Address of Building This permit is grantedrto the contractor or builder named above to construct the building or to install the cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work plans, drawings, statements or specifications that may have been submitted to nd approved by the proper municipal at any time if the work is not done in compliance with such ordinances or if a ar+e g r wi o : auth permit is granted is the understanding that the contractor or builder named regulations pertaining to the work covered hereby whether shown on the plans *. sibility for work done by his agents, servants or employees. Value of Project EGTs In consideration of the issuance to me of this peaenit I agree to perf work covered hereunder in c()when pertaining thereto and in strict conformity with- the plans, drawing's, stat .: = is or specifications subnulted o the prop In a accepting this a it I ass r ons ility for all work done by either myself, my agent, servant or employee. i BY Per Contractor's License No «2 ... :. -: [ £° [ Permit No. .4 74-9° 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 su itted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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. 0 481 Street_ __ it I 4111° ill Registered Architect and /or E " � Employing Plumber's Name ' No._ __L T 1 4 v• Street_ _ Location and Legal Description Lot a._ 4- 2 .- _' Block 1 7 4 .0 Subdivision - -_ _ -1 . Date_ Street and Number where work is to be performed —No Street 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 .4-4C4 ___ _ Feet of Drain Tile 0 d Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit $ t 0--11 (Signed) n ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts ' obligations 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 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 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. - Capacity Gals. 1_." 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. DRAI FIE SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. .4 74-9° 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 su itted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance o 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. 0 481 Street_ __ it I 4111° ill Registered Architect and /or E " � Employing Plumber's Name ' No._ __L T 1 4 v• Street_ _ Location and Legal Description Lot a._ 4- 2 .- _' Block 1 7 4 .0 Subdivision - -_ _ -1 . Date_ Street and Number where work is to be performed —No Street 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 .4-4C4 ___ _ Feet of Drain Tile 0 d Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit. Amount of Permit $ t 0--11 (Signed) n ing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts ' obligations 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 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 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. - Capacity Gals. 1_." Master Plumber. Permit No. - Amount of Permit $__ i Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sfbmitted 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 iegulations 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 Engin r Employing Plumber's Name 2 ate,.__ _ lock Subdtvtsto • Location and Legal Description Lot Street_ _J(_!__j_ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank __ _ Capacity Gals.______ 1 ___ Feet of Drain Tile ./ 0 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —W Size of Soakage Pit y C PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 0 The undersigned applicant for this building permit does hereby certify that he understands and accep is obligayifis as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane 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 - contra rs, on w . ,,� '� •' form• • u •er this =ergs aye licensed by Miami Shores Village. STATE OF FLORIDA, s§. 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 MIAMI SHORES VILLAGE (Signed) (Signed No. 2f _ No._ !__i!_ Street_.e' Z____�.__ 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. Date Notary Public, State of Florida .2,if 14 umbing Inspector. 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 SE. R "• NN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK asION Permit No. - Amount of Permit $__ i Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sfbmitted 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 iegulations 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 Engin r Employing Plumber's Name 2 ate,.__ _ lock Subdtvtsto • Location and Legal Description Lot Street_ _J(_!__j_ Street and Number where work is to be performed —No. State work to be performed and purpose of building (By New Building Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank __ _ Capacity Gals.______ 1 ___ Feet of Drain Tile ./ 0 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —W Size of Soakage Pit y C PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 0 The undersigned applicant for this building permit does hereby certify that he understands and accep is obligayifis as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane 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 - contra rs, on w . ,,� '� •' form• • u •er this =ergs aye licensed by Miami Shores Village. STATE OF FLORIDA, s§. 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 MIAMI SHORES VILLAGE (Signed) (Signed No. 2f _ No._ !__i!_ Street_.e' Z____�.__ 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. Date Notary Public, State of Florida .2,if 14 umbing Inspector. Master Plumber. 4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Q Date - 1 (DJob Address 3E9 N E qq S"rt! 4 Tax Folio Legal Description Historically Designated: Yes No / Tenant WA-Tr y fl "� x� Master Permit # 7 .0 1 1 Own 1 er's Address 3 O ) 6 9 9 3 �. Contracting Co. MI 1W( <S06 pto‘461 NC/ Address 24950 NO L rr Qualifier D NN r u ss# - State # CFC.0 1 9 203 Municipal # Competenc # Ins. Co. S Phone ( i C Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA . PLUMBING ECHANIC \ AL ( RROOFING PAVING FENCE SIGN WORK DESCRIPTION � - \ h� up o_3\-< T Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -n ntractor to do the work stated. Signature of owner and/or Condo President 1 N L a ry as to 0 y Commissio . ' o President Date c.. E SU IAGO My Commission CC3O6750 Expires Aug. 16, 1997 8vded by 14A% goo -a2 • FEES: PERMIT ' r. RADON APPROVED: Zoning Building Mechanical . Plumbing Date Signature of Contractor or O Date 2194 as to Contractor or Owner- Build ef Date M ommission Expire s \««« w.s%s ‘m«‘%st«««sw,%s% % % % \■ z , ti� " 0 4 Kristen Woodcox < Notary Public, State of Florida o Commission No. CC 493693 < • , ' 'of A.'S' My Commission Expires 09/06/99 < • ; t - 800 - NOTARY - Pia. Nou y service & Hooding Co. c C.C.F. l NOTARY BOND TOTAL DUE 3 Electrical Engineering 1/ Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ?it` Date )cilZ iL 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. Schottenheimer 389 N.E. 99 Owner's Name and Address No Street . _ ... Registered Architect and /or Engineer E l lb Pl r e New Miami Shores Pl l�!.1,�1 _. Na.. 1. 7. E�xld ttrMt ...la�eru��.._._»....• �..� - Local a and Legal p Lot. 389 N . 99th. St Mon) -- ..L- rink;'_ �Or;4X, SP/444€ 00/,,l t Addition.. ____.. r Repairs No. of Stories ............... Street and Number where work is to be performed —No State work to be performed and purpose of building New Building_______ ---- ...__... - - - -.. Remodeling- .__ _ - _...._ .. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City—WeIL Amount of Permit $ Street.. Type of Tank—.—_ fit. Feet of Tank ac Drain Field from Well Size of Soakage Pit_ (Signed) - '_ (Side; subdividon._211ezi_ 8212 Capacity Cals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida 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 orb- contractors, on work be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, I an C C 1 11164 COUNTY OF DADE. I St. Lie. 4 CFCO 24459 Before me, the undersigned authority, a notary public, Only 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 wham mob ro•lo paodon V aada'iaosenry by improper notice for inspection, or faulty materials and /or workmanship. TOTAL FIXTURES CLOSITe BATH TUBS fNOWERa LAVA• TORIES SINKS SLOP SINKS LAUNDRY TUBS URINAU CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'O P001. LIST CHECK 1/ Permit No. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ?it` Date )cilZ iL 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. Schottenheimer 389 N.E. 99 Owner's Name and Address No Street . _ ... Registered Architect and /or Engineer E l lb Pl r e New Miami Shores Pl l�!.1,�1 _. Na.. 1. 7. E�xld ttrMt ...la�eru��.._._»....• �..� - Local a and Legal p Lot. 389 N . 99th. St Mon) -- ..L- rink;'_ �Or;4X, SP/444€ 00/,,l t Addition.. ____.. r Repairs No. of Stories ............... Street and Number where work is to be performed —No State work to be performed and purpose of building New Building_______ ---- ...__... - - - -.. Remodeling- .__ _ - _...._ .. Size Septic Tank_ Feet of Drain Tile Nature of Water Supply: City—WeIL Amount of Permit $ Street.. Type of Tank—.—_ fit. Feet of Tank ac Drain Field from Well Size of Soakage Pit_ (Signed) - '_ (Side; subdividon._211ezi_ 8212 Capacity Cals. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida 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 orb- contractors, on work be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, I an C C 1 11164 COUNTY OF DADE. I St. Lie. 4 CFCO 24459 Before me, the undersigned authority, a notary public, Only 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 wham mob ro•lo paodon V aada'iaosenry by improper notice for inspection, or faulty materials and /or workmanship. T;i> :)P BUI - ING ELECTR! AL PLUMBING Owner of Building RMIT N? 6297 Work o be performed under this Permit In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity wi the plans, drawings, In acceptin• this permit I aslum• respoxisib" ' for all work done by CONTRACTOR OR BUILDE Subdi- vision MIAMI SHORES VILLAGE, FLORIDA DATE Contractor 's / gi 3 "e License No . AUTHORITY 19 Archite Contractor or Builder Legal Lot Description Address of Building *Paw _ airmiroir This pe - • struct the building or to install the equipment or device described in the appli- cation herefor in strict co .liance with all ord" nces pertarm g ° o 0 2 ith the understanding that the work will be performed in condpliance 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 an5rtime 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 respo i sibility for a thorough knowledge of ordinances and regulations pertaining to the work covered hereby whether shown on the plaits in! in = statements o specifications : • . swrrtes respon- sibility for work done by his agents, servants or employees. � Signe`• : ! .i �_ : •�,� � NSPE OR e work covered hereunder in compliance with a - • "uanees and mom& eats or specifications submitted to the proper auth of Miami Sharea e. er myself, my agent, servant or employee.