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940 NE 99 St (2)Permit Owner's Name and Address Registered Architect and /or Employing Plumber's Nam MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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 wi whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street Location and Legal Description Lot____- ___________— ( � Block Su Street and Number where work is to be performed —No / O Street � - - -- — _._. - - eec.. f ry- 1 Q State work to be performed and purpose of building (By Floors) _ _ _ .------- __.------- __ - - New Building _— .___ -_ -- Remodeling _--------- .--- .--- __ -___ Addition_ -__ Repairs No. of Stories . . .. ... . .. .. .. . . Size Septic Tank er Feet of Drain Tile — __ Nature of Water Supply: City Amount of Permit $ I 0 a STATE OF FLORIDA, COUNTY OF DADE. Type of Tank —__ (Signed)- (Signed Capacity Gals.. __ —Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit 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 5968, 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 si : f the work such publ' . ce or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, •• k to be p under this permit, as are licensed by Miami Shores Village. 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 insp. 'n, or faulty materials and /or worlananship. CLOSETS BATH TUBE 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 SW IM'G POOL CONTR. LIST - - -- CHICK Permit Owner's Name and Address Registered Architect and /or Employing Plumber's Nam MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 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 wi whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street Location and Legal Description Lot____- ___________— ( � Block Su Street and Number where work is to be performed —No / O Street � - - -- — _._. - - eec.. f ry- 1 Q State work to be performed and purpose of building (By Floors) _ _ _ .------- __.------- __ - - New Building _— .___ -_ -- Remodeling _--------- .--- .--- __ -___ Addition_ -__ Repairs No. of Stories . . .. ... . .. .. .. . . Size Septic Tank er Feet of Drain Tile — __ Nature of Water Supply: City Amount of Permit $ I 0 a STATE OF FLORIDA, COUNTY OF DADE. Type of Tank —__ (Signed)- (Signed Capacity Gals.. __ —Dist. Feet of Tank or Drain Field from Well _Size of Soakage Pit 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 5968, 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 si : f the work such publ' . ce or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, •• k to be p under this permit, as are licensed by Miami Shores Village. 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 insp. 'n, or faulty materials and /or worlananship. i r. Permit No _ Registered Architect and /or Engineer Employing Plumber's Name ____A. ii__Zee.pttic__ —Ta c___ t Location and Legal Description Lot. ` +7 Street and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT LICATION FOR PLUMBING PERMIT 940 State work to be performed and purpose of building (By Floors) install New Building XX Remodeling Addition Date_Dataenther 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 Paul Thomas No. Street - No. blab Street N.W. 27_ kb_ __ . Block i 0 Subdivision Miami____shQr. - street____AY_R,lie!___ 1_2th___SL_a septic tank and drain Lilo Repairs No. of Stories Size Septic Tank Type of Tank precast Feet of Drain Tile 100 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Capacity Gals. 604 Amount of Permit $ - - - - - -- — 1.00 ________ ------__________ — — — — -- (Signed) 4 --'- -{ — •- I -- ... r 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) Master Plumber. 0 . 4 - ' ,� .. lC,,.A.,.«, ... Plumbing Inspector. 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 andjor workmanship. CLOSETS BATH TUDS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUDS 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 X CHECK i r. Permit No _ Registered Architect and /or Engineer Employing Plumber's Name ____A. ii__Zee.pttic__ —Ta c___ t Location and Legal Description Lot. ` +7 Street and Number where work is to be performed —No STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT LICATION FOR PLUMBING PERMIT 940 State work to be performed and purpose of building (By Floors) install New Building XX Remodeling Addition Date_Dataenther 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 Paul Thomas No. Street - No. blab Street N.W. 27_ kb_ __ . Block i 0 Subdivision Miami____shQr. - street____AY_R,lie!___ 1_2th___SL_a septic tank and drain Lilo Repairs No. of Stories Size Septic Tank Type of Tank precast Feet of Drain Tile 100 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Capacity Gals. 604 Amount of Permit $ - - - - - -- — 1.00 ________ ------__________ — — — — -- (Signed) 4 --'- -{ — •- I -- ... r 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) Master Plumber. 0 . 4 - ' ,� .. lC,,.A.,.«, ... Plumbing Inspector. 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 andjor workmanship. Permit No. 3J _ 6 -__� 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 ___ i _ `' No Registered Architect and /or Engineer _____________ _____ __ _ _____ Employing Plumber's Name No Street__1__ Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_________.____ W______ Remodeling Addition Repairs No. of Stories Size Septic Tank__ Type of Tank Capacity Feet of Drain Tile_._ �^ c �__ ___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—wrelt. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Cti • 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. Size of Soakage Pit._ 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) % r/% - (� ( r" C. - r i e I;vfasvr Plumber. Before me, the undersigned authority, a notary public, duly 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 therein by him stated are true. My Commission Expires 1i? , ' , l D a t e _ �. (.- C � w — - ) Street -- authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida the same, and that all facts 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. 3J _ 6 -__� 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 ___ i _ `' No Registered Architect and /or Engineer _____________ _____ __ _ _____ Employing Plumber's Name No Street__1__ Location and Legal Description Lot_ Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_________.____ W______ Remodeling Addition Repairs No. of Stories Size Septic Tank__ Type of Tank Capacity Feet of Drain Tile_._ �^ c �__ ___ Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—wrelt. Amount of Permit $_ STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Cti • 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. Size of Soakage Pit._ 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) % r/% - (� ( r" C. - r i e I;vfasvr Plumber. Before me, the undersigned authority, a notary public, duly 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 therein by him stated are true. My Commission Expires 1i? , ' , l D a t e _ �. (.- C � w — - ) Street -- authorized to administer oaths and take acknowledgments, personally Notary Public. State of Florida the same, and that all facts 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 MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3653 Work to be performed under this Permit / Owner of Building Architect • Value of Project DATE Contractor's License No. Amt. of Permit CONTRACTOR OR BUILDER BY AUTHORITY 194— n n r'4 NIZ4. 1 L,, �11� tau ire c4�at�u• i ; sulk natd ace be�Or sa��,l;5� Subdi- this ; emit. It vision - Contractor or Builder Legal Lot Bl. Description Address of r' { t / ''� Building c1 M 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 - .w 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. /6 r i JOB: AD: BUILDING ELECTRICAL PLUI•fMBING Inspector's Report: - WORK DONE BY REQUESTED ' The following is ready for Inspection: • • WILL BE READY � .r ;y _ Permit No. _5.%f 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 Paul Thomas Registered Architect and /or Engineer Employing Plumber's Name Acme 5 p i_ _Tank co. Location and Legal Description Lot___ o fi 7 Street and Number where work is to be performed —No. 940 State work to be performed and purpose of building (By Floors) New Building XX Remodeling Addition Size Septic Tank Type of Tank precast Feet of Drain Tile 100 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $_— 1.00 (Signed) 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 Workrnen'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. STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly s s. My Commission Expires • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT LICATION FOR PLUMBING PERMIT Block No Street No. 5.7.45 street N. 2 7th Ave install septic (Signed) _ 1°l Date--- De..c_£mb eS' 11,___1 4 0 Subdivision Uiami Shores Street • E . gth _at,_i tank and drain tile Repairs No. of Stories Capacity Gals Notary Public, State of Florida 600 Plumbing Inspector. 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. 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 X SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST X CHECK � .r ;y _ Permit No. _5.%f 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 Paul Thomas Registered Architect and /or Engineer Employing Plumber's Name Acme 5 p i_ _Tank co. Location and Legal Description Lot___ o fi 7 Street and Number where work is to be performed —No. 940 State work to be performed and purpose of building (By Floors) New Building XX Remodeling Addition Size Septic Tank Type of Tank precast Feet of Drain Tile 100 Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Size of Soakage Pit Amount of Permit $_— 1.00 (Signed) 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 Workrnen'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. STATE OF FLORIDA, k COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly s s. My Commission Expires • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT LICATION FOR PLUMBING PERMIT Block No Street No. 5.7.45 street N. 2 7th Ave install septic (Signed) _ 1°l Date--- De..c_£mb eS' 11,___1 4 0 Subdivision Uiami Shores Street • E . gth _at,_i tank and drain tile Repairs No. of Stories Capacity Gals Notary Public, State of Florida 600 Plumbing Inspector. 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. 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. JILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT . N? 1667 Work to be performed under this Permit Owner of Building 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 1 assume responsibility for all work done by either myself, my agent, servant or employee. Subdi- vision Value of Project CONTRACTOR X BUILDER BY DATE 194— Contractor's License No Amt. of Permit AUTHORITY ,