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1217 NE 100 St (14)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Permit No. Name Address o 1 1 , (r‘• ( (%,Y Company , I ' Approved Correction Re- Insp'n Fee Phone # For Inspector:,! , / Q Date ?-/ / / -- 102, Time t Permit No. r4 ;®e 2,- /16 6 �Y/� Name d i rSD Address /2/7 Al /tTo 5 / .y Company /312414/ 7 �} Phone # 305 *72/ '‘ t 7 ✓ Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request For Inspector: 1 Name & Date Approved ❑ Correction ❑ Re- Insp'n Fee ❑ ri00'1v la� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re- Insp'n It /ri l&no`a 3ati Type Insp Permi Name Address Company h Phone # 0-S- l ( b "" y For Inspector: i n/ / .)? /I Approved Correction o MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7-,2 5 - ,0v? Time Type Insp'n Permit No. 7 L DD a -/ 76 Name a Address 42/7 4 /0057— Company Phone # For Inspector: 7 0 Approved Correction Re- Insp'n Fee Z Date Type Insp'n Permit No. Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Name Address c i 1 1\ ' C. CC' Company — – - Phone # - (7 S k - For Inspector: / / / ? / Q,. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Date 7 - 1 2-2°7 Z Job Address 12-1 7 VE 100 J1 Tax Folio Legal Description QE fl N) t l At. Owner /Lessee/Tenet Owner's Address Y2-- 1 7 N t- (00 Contracting Co. RE/ -Tt-Z.._ M Pt st Qualifier 1 - -'• V-4 \ ` J SS# ( ] . / Phone 3(' ) c i Lit= gC= State # C C. ( 72 C' Municipal # Competency # Ins. Co. Ht ' P,TF IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: f C L -U CATS !`� 1 � -' l J �7� 1kr'6 i1 A 1�jy Notary as to Owner and/or Condo President FEES: PERMIT l i e RADON 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 ANY 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). 1 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 all disciplines. OWNERS 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 named contractor to do the work stated. 6 Signature of owner and/or Condo President Date Signature of Contractor or Owner Builder My Commission Expires My Commission Expires APPROVED: Zoning Building Mechanical Plumbing Historically Designated: Master Permit # ZL 2 - 11 p � /P I L , D Phone Address t 73 tv I Li 7 - 7 K 1 Q .... A .__ ' Date Notary as to Contractor or Owner Builder NOTARY Yes No 1 7 C MECHANICAL ROOFING 7 Date Date BOND TOTAL DUE Electrical Structural Engineer ITEM BATH TL8 UNIT FEE ITEM . . SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS. UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS OLCT WORK FLOOR DRAIN SERVICE REPAIR/IETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY ' OVEN ABOVE GROUND TANKS . LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS . CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER 1 MOTORS OVER 1— 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3— 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES , SINK, SLOP MOTCRS OVER 8— 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS . URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET 1 MOTCRS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONOITIONERS — A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER —NEW INST. GENERATORS TRANSFORMERS HEATER — REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMdERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS fTILITY —SEWER SIGN TIME CLOCK IT IL ITY —WATER F IXTLFIES SEPTIC TANK ANTENNA ' ELAY TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. VIOLATION UMP S ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATM BASIN ISCHARGE WELL OMESTIC WELL REA DRAIN )0F INLET LIAR WATER HEATER IRE STANDPIPE . )0L PIPING 1WN SPRINKLER SYSTEM ►S RANGE . :TER SET (GAS) ■S PIPING (AN APPLrICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL . _ .� • F° 9 N �. E � 11! � ��H C'd�y 8�,:hmi Shoe e ve a e 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/15/2002 Applicant: ALBERT & KRISTINE Owner: ANDERSON JOB ADDRESS: 1217 NE 100 Contractor BEAR PLUMBING INC Local Phone: Parcel # 1132050090631 yo_.2(Av,-7 » 0, 0 Total Fees: *GO Total Receipts:. $0.00 Permit Status: Approved Work: RELOCATE PLUMBING IN BATHROOM AND INSTALL FIXTURES ARCO CONSTRUCTION CORP. 1665 N.E. 137TH TER. NORTH MIAMI, FL 33181 TO THE PAY ORDER OF y/r a r' i' ! ' „-e/A 1 a qp First Union National Bank N ° firstunlon.com Org. 003 R/7 067006432 Permit Expiration: 1/11/2003 Construction Value: � FOR �e / ?/7 ,OE/ 00 000 L9 2411' 1 :06700643 2 209000 L94901311 P i urn bingPermit Permit Number: PL2002 -176 ANDERSON ALBERT & KRISTINE ST Contractor's Address: 1973 NE 147 TERR Legal Description: 5 53 42 EARLETON SHORES PB 43 -80 LOT 2 63- 643/670 y BRANCH 13093 DATE 4 a 1 $� 1 l d `= lJ [Malts *a $2,000.00 DOLLARS 1924 Page 1 of 1 te- inspection BLK 5 LOT SIZE ration herefor in strict compliance with all flications that may have been submitted to or if the plans are changed without onsibility for a thorough knowledge of the :hat he assumes responsibility for work done Is pertaining thereto and in strict conformity sponisibility for all work done by either 6c-7 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shoves, Florida 33138 • 305-795-2204 Dat �b Job Address I2 17 JJ C i ©O sT Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee/Tenet Master Permit # (3 020 O .2' 67 Owner's Address / 421 ( Ate. /via Phone e • C C , / - c Contracting Co. Address Qualifier State # Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): , tUILDING ,ELECTRICAL PLUMBING) MECHANICAL ROOFING WORK DESCRIPTION: Square Ft. Estimated Cost (val eG) 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 ANY 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). 1 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 all disciplines. OWNERS 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 named contractor to do the work stated. ‘I Signature of owner and/or Condo resident Date Signature o Contract B uilder eet'o''41y ra j r) O FFICIALNOTMYSEAL ��"'� O ff' (tY Pi,, EDWARD)WALKER / /;/ 6 02— O 1P RY PG OFFlNE }fi @Rd' COMMISSION to W wa yr z . o !NEW Notary as to ::. , r ondo a eide31t Date Not. as to Contractor or Owner Ii * COMMISSION NUMOEDat My Conunissi■ , .; MYCCMMISSIONEXPIRES M Commission Expires O 00054320 F FV MAR.18,2003 OF fL MY COMMISSION EXPIRES SEPT 22,2005 RADON FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing ss# Phone - 612-3 0 3/ 30 ce-cogyaq� Competency # Ins. Co. tAJC NOTARY BOND TOTAL DUE Electrical Structural Engineer UNIT FEE ITEM UNIT S"A I TO CURETS FEE ITEM UNIT SPACE N EATERS ... FEE . LIGHT CUTLETS CENTRAL FAT INS 7.-ER ( RECEPTACLES A/C (WIN]) . IL SERVICE MCCRARY A/C (CENTRAL) -G FOUNTAIN SERVICE SIZE IN &FS MET WORK CRAIN SERVICE REPAIR!b TEP CHAN& REFRIGERATION TRAP I APPLIANCE OUTLETS PROCESS AND FRESS PIPING EPTCR 1 RANGE TCP UNDERGROUND TANKS 3Y OVEN ABOVE GRCl2D TANKS < Y TRAY RATER HEATER U.F. PRESSURE VESSELS S RASHER MOTORS 0- 1 FP STEAD BAILERS • • • KJTCAS OVER 1- 3 FP NOT WATER BOILERS I� FOT/3 COMP. i MOTORS OVER 3- -5 FP ViCHANICAL VENTILATION .. RESIOENCE 1 WTCRS OVER 5- 8 FP TR,L`SPCRTING ASSERLIES SLOP MOTORS OVA 8- 10 FP ELEVATCRS/ESCALATCRS t%RY WATER CLOSET MOTORS OVER 10- 25 FP • FIRE SPRINKLER SYSTEMS _ MOTORS OVER 25-100 FP COOLING TOWERS • CLOSET MOTORS OVER 100 FP 1 VIOLATION I ECT WASTES A/C WINDOW REINSPECTIOH SLFPLY TO: i AIR CONDITIONERS I . NIT 1 STRIP HEATER .E SPRINKLER GENERATORS TRA'SFCRVFRS • 1 ,TER -?EN INST. I GENERATORS TRA.FCR4ERS JER- REPLACE 1 I GENERATORS TTA.SFCP MRS :4 SPRINKLER-WELL 1 SPECIAL FtRPOSE WING POOL 1 CUTLETS CCkrERCIAL I 'ER SERVICE • SIGH TUBES CONNECTIONS SIGN TRiSFr$ ERS TY -SE? E R SIGN T I)rf CLOCK TY -WATER F IXTLRES ;C TANK ANTENNA TELEVISION OUTLETS '7IELO. 4' TILE/RES. ' VIOLATION & ABANDON SEPTIC TANK REINSPECTION LGE PIT CU. FT. i BASIN riAGE I ST IC WELL CRAIN INLET R WATER MAIM - STANDPIPE STA`LP IPE . PIPING .. f SPRINKLER SYSTEM RANGE :R SET (GAS) PIPING • = PLICATIOti OR BUILDI`G PER ZT ; -,;5T ACCQ; =AN1 THIS ADDENDUM. Ir A MASTER PERMIT HAS B. :N=D, , 11.= 'bwti=R' S NOTARIZED SIGNATURE HEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) s -� PLUMBING ELECTRICAL MECHANICAL sT 3ic 3 3 �ti HARLAND 1998 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/23/2002 Parcel # 1132050090631 MARLIN PLUMBING OF MIAMI, INC. PH. 305-652 -3031 20145 N.E. 16TH PL. NORTH MIAMI BEACH, FL 33179 / la ✓U r(° PAYTO THE ORDER OF 'FOR First Union National Bank firstunlon.com Org. 003 R/T 067006432 DATE f-2 u. I:0670064 3 21: 209000 L84839 211' 07 23 63- 643/670 BRANCH 13093 DOLLARS 0723 Plumbing Permit Permit Number: PL2002 -128 Applicant: ALBERT & KRISTINE ANDERSON Owner: ANDERSON ALBERT & KRISTINE JOB ADDRESS: 1217 NE 100 ST Contractor MARLIN PLUMBING OF MIAMI INC Contractor's Address: 20145 NE 16 PL Local Phone: 305 - 652 - 6108 Legal Description: 5 53 42 EARLETON SHORES Fees: Description Amount FEE2002 -2964 Building Fee $90.00 Total Fees: $90.00 Permit Status: Approved Permit Expiration: 11/18/2002 Construction Value: $1,500.00 Work: ROUGH & SET 1 WC, 1 LAV 1 TUC Page 1 of 1 PB 43 -80 LOT 2 BLK 5 LOT SIZE Total Fees: $90.00 Total Receipts :. $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection • ._ _ : ".4.•., „„e hnfnrP rallina for another inspection. BY: le equipment or device described in the application herefor in strict compliance with all vith any plans, drawings, statements or specifications that may have been submitted to not done in compliance with such ordinances or if the plans are changed without tor or builder named above assumes the responsibility for a thorough knowledge of the • gs or in the statements or specifications and that he assumes responsibility for work done i compliance with all ordinances and regulations pertaining thereto and in strict conformity es Village. In accepting this permit I assume responisibility for all work done by either BY: MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ` 3 2-9 - 2-- /V 7 y/5 - 7e7 - y i y. s o Date -- - if _ r 7 / 7/ —//.7 zoo 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 3 f _ CL i P. 0 4_0 __- _•____ No. __..1 ___- 7 _ Street N. /a a .S/� Registered Architect and /or Engineer_._____ __. - - -- Employing Plumber's Name J'E0 lou /PS _ 6'4 _ S S-rA/t l No.__ 1 Street..1/ _ /2 5 7 Location and Legal Description Lot 2. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)__ New Building ____ Remodeling—______ — Addition. Bloch 'S Subdivision Street 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 STATE OF FLORIDA, COUNTY OF DADE. j Amount of Permit $ 1 (Signed) _ (Signed)-- Repairs No. of Stories. Capacity Gals My Commission Expires Notary Public, State of Florida • Pl g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations :::. employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ement, 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 die 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. 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. 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 TUBE U CATCH BASIN FLOOR DRAIN �D G FCf�NT'NS '4 4 4 4 ' Ofj4,V / TOTAL FIXTURES / CONTR. LIST ,(/4 r 1yRf7ll. / CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL 1441iQ /- I4.2ix), --/--- F 414,414 I / �" -NHL / c-.0 .( /a4tfy a 4.. CONTR. LIST CHICK _ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No ` 3 2-9 - 2-- /V 7 y/5 - 7e7 - y i y. s o Date -- - if _ r 7 / 7/ —//.7 zoo 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 3 f _ CL i P. 0 4_0 __- _•____ No. __..1 ___- 7 _ Street N. /a a .S/� Registered Architect and /or Engineer_._____ __. - - -- Employing Plumber's Name J'E0 lou /PS _ 6'4 _ S S-rA/t l No.__ 1 Street..1/ _ /2 5 7 Location and Legal Description Lot 2. Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)__ New Building ____ Remodeling—______ — Addition. Bloch 'S Subdivision Street 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 STATE OF FLORIDA, COUNTY OF DADE. j Amount of Permit $ 1 (Signed) _ (Signed)-- Repairs No. of Stories. Capacity Gals My Commission Expires Notary Public, State of Florida • Pl g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations :::. employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supp ement, 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 die 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. 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. 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. Name Date and Time of Injury ype of Injury Treatment Applied Mme of Foreman This form should be filled out and given to your foreman any time you have an injury of a minor nature that does not require a doctor "s attention. This is for your protec- tion in the event that such injury should later become serious. P�5 - EC 53 MINOR INJURY REPORT Permit No _____ -- -. __ - -_ Registered Architect and /or Engineer ___________________ ___.__— Size Septic Tank_ ___ Feet of Drain Tile INSTALLED PATIO GRILL. Amount of Permit $- 2.00 STATE OF FLORIDA, COUNTY OF DADE. 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 submitted for the building or ether 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 _._______ •._Muggi e No. 1217 N . E. 100 St • -- - - -- -- -- - - -• -- . -- -- ------- ---- - - - - -- Employing Plumber's Name T r o p i g a s Location and Legal Description Lot-______ Block_ Subdivision_.._ _:___ 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 Type of Tank _ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well._ _ _ _— ._._____.______.___— _________ __— _____Size of Soakage Pit (Signed)._ Repairs-- -- - - - - -. _ --- .- __ -. No. of Stories.... ...... .... No._ —_ 3795 N . W • Street_ _ 21 St • - Date. 1- -66 _ Capacity Gals. My Commission Expires Notary Public, State of Florida Pkmbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ' •ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennane 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 no•ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on worktc( be performed under s per nit. as are licensed by Miami Shores Village. 353 4 —C idasamilinasbat Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal) • 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 'acts 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 Tues „ RINALS BASIN FLOOR DRAIN DRINK N6 FOUNT' NJ 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 Colvin. LIST CHECK —. —...— Permit No _____ -- -. __ - -_ Registered Architect and /or Engineer ___________________ ___.__— Size Septic Tank_ ___ Feet of Drain Tile INSTALLED PATIO GRILL. Amount of Permit $- 2.00 STATE OF FLORIDA, COUNTY OF DADE. 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 submitted for the building or ether 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 _._______ •._Muggi e No. 1217 N . E. 100 St • -- - - -- -- -- - - -• -- . -- -- ------- ---- - - - - -- Employing Plumber's Name T r o p i g a s Location and Legal Description Lot-______ Block_ Subdivision_.._ _:___ 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 Type of Tank _ __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well._ _ _ _— ._._____.______.___— _________ __— _____Size of Soakage Pit (Signed)._ Repairs-- -- - - - - -. _ --- .- __ -. No. of Stories.... ...... .... No._ —_ 3795 N . W • Street_ _ 21 St • - Date. 1- -66 _ Capacity Gals. My Commission Expires Notary Public, State of Florida Pkmbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig ' •ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennane 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 no•ices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on worktc( be performed under s per nit. as are licensed by Miami Shores Village. 353 4 —C idasamilinasbat Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal) • 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 'acts 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. • Dfsapprovet � Date_ (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 n6t. A copy of approved plans and specifications must be kept at building during progress of the work. Date /o,z7 — 4 Owner's Name and Address L. C.--z. . '/ 7_C;, ' ._ No )2, I 7 Registered Architect and /or Engineer Name and address of licensed contractor `a L L__C„ -, £ -i-9 C _J•r ( Location and legal description of lot to be built on: Lot Block Subdivision -� Street and Number where work is to be done 1 Z- t 1 L t 0 ,S7 i • State w k to be done and urpose of building (by fl ors ) amC % r4 7 G =)- 7 - -) -5 429 -c_ _� / Xf 7 - -Ep-�• X 0 0 5 7 L = -- 4 - 71 - - ? -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ ` Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 complied 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) � �_ � �7,Ct e�`+�4� �°fre STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 forepping application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 2.1 Z" _. Date / / °� � Read, Sworn to and Subscribed before me. Building Inspect / ' to me well known, o ar Public, State of Florida Street My Commission Expires ANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE. FLORIDA BUILDING ELECTRICAL El PLUMBING PERMIT N? 7962 ROOFING Owner of Building Architect Contract° or Builde Legal Descriptic Address Building 195 DATE 1 Contractor's / License No Work to be performed under this Permit ( 4- 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. •"" INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered herevilder 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. CONTRACTOR OR BUILDER Signed: BY AUTHORITY 4161§%'17 — k.. ...„.» (........ , i , i ./,' , 1 7- / I ' ..r" ,dpie 1 ../ • il n Lot Bl. ubdi- ' vision If J 2 0 :I , / • e ie:,, ....,, Sq. Ft Amt. of Permit $ Value of Project $ MIAMI SHORES VILLAGE. FLORIDA BUILDING ELECTRICAL El PLUMBING PERMIT N? 7962 ROOFING Owner of Building Architect Contract° or Builde Legal Descriptic Address Building 195 DATE 1 Contractor's / License No Work to be performed under this Permit ( 4- 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. •"" INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered herevilder 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. CONTRACTOR OR BUILDER Signed: BY AUTHORITY 4161§%'17 UILDING LECTRICAL LUMBING OOFING 'weer of Aiding • v MIAMI SHORES VILLAGE. FLORIDA ❑ ❑ PERMIT / CONTRACTOR OR BUILDER L.1 rchitect ontractor Builder _=gal Lot ascription Bl ddress of r -747 I Signed. N9 4359 Work to be performed under this Permit Subdi- vision Value of Project $ DATF Contractor's License No. Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application ,refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, swings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ae 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specif}oatio and that he assumes responsibility for work ne by his agents, servants or employees. r'= a � / r 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 rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY BY AUTHORITY '44191'• ;UILDING LECTRICAL 'LUMBING :OOFING MIAMI 0 0 ERMIT N9 4553 )weer of tuilding A A C I SR 1) 1? / architect ontractor —. ,r Builder 1 e-, -egal Lot )escription Iddress of • uilding i Z 1 N L In consideration of the issuance to me ertaininq th eto and in strict conformity with epting permit I Jsu7erespogsibility for CONTRACTOR OR BUILDER SHORES VILLAGE. FLORIDA Work to be performed under this Permit T v tC- B1 Signed: t..3 _ BY Subdi- vision Value of Project $ DATE l O Contractor's No. 1.S fir Amount of Permit $ S n 195 This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the appllcation erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me if the work is not done in compliance with such ordinances or if the plans are changed without author - 'en. - - -A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a t ough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specific• '•,s and that he assumes responsibility for work one by his agents, servants or employees. INSPECTOR of this permit I agree to perform the work covered under in compliance with all ordinan the plans, drawings, statements or specifications sub tied to the proper authorities of Miami Shores all work done by either, myself, my agent, servant or employee. t t. d regulations ge. In ac- AUTHORITY a*efigg. CITY OF MIAMI SHORES CFI PERMIT DATE: 10/18/58 ` Installed at : 1217 NE 100 St. For: Mr. E. Carpenter By: Public Gas Company 7200 NW 7 Ave Metered installation Equipment: water heater & space heater 0 Permit No MIAMI SHORES VIL AG PLUMBING INSPECTION DEPARTMEd<.' APPLICATION FOR PLUMBING " . •'. +lFil�P Date / /// _!/- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. 2/4e1.-__ Registered Architect and /or Engineer _.._ _ r_.. Employing Plumber's Name Ll.!�G�•x.__ No. /1.��� State work to be performed and purpose of building (By Floors) __. New Building —__ Remodeling _-__ _____ Addition No._ -/ y / 1 -- Street /VG / C Location and Legal Description Lot____.___ V Block__ _______ - Subdivision Street and Number where work is to be performed— No._______ _ Street Street.._? Repairs No. of Stories. . ....................... Size Septic Tank Type of Tank_ Amount of Permit $ My Commission Expires Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ... � IC Nature of Water Supply: City —Well �' - -- Size of Soakage Pit -- (Stied) -- P- .. lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati;/ s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent ' upplement, 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 )__ � 1� Z% __/�1_'� - - - -- r, as er Plumber. STATE OF FLORIDA, COUNTY OF DADE. j 13efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to re.; well k..uwn, 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 therzi. ■i v hin-. stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS O LAVA. TORIES SINKS SLOP SINKB LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT' N8 TOTAL FI %TURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HE gTER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST - _ CHECK Permit No MIAMI SHORES VIL AG PLUMBING INSPECTION DEPARTMEd<.' APPLICATION FOR PLUMBING " . •'. +lFil�P Date / /// _!/- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. 2/4e1.-__ Registered Architect and /or Engineer _.._ _ r_.. Employing Plumber's Name Ll.!�G�•x.__ No. /1.��� State work to be performed and purpose of building (By Floors) __. New Building —__ Remodeling _-__ _____ Addition No._ -/ y / 1 -- Street /VG / C Location and Legal Description Lot____.___ V Block__ _______ - Subdivision Street and Number where work is to be performed— No._______ _ Street Street.._? Repairs No. of Stories. . ....................... Size Septic Tank Type of Tank_ Amount of Permit $ My Commission Expires Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well ... � IC Nature of Water Supply: City —Well �' - -- Size of Soakage Pit -- (Stied) -- P- .. lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligati;/ s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent ' upplement, 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 )__ � 1� Z% __/�1_'� - - - -- r, as er Plumber. STATE OF FLORIDA, COUNTY OF DADE. j 13efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to re.; well k..uwn, 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 therzi. ■i v hin-. stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or nnt. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ MIAMI SHORES VIL AG PLUMBING INSPECTION DEPARTMEi '; APPLICATION FOR PLUMBING ! No. __ - 9_^Z_ { Street (Signed). Registered Architect and /or Engineer . -------------- _ - __ -- . No._ _ ._. __--- __ -___ Street--._ Employing Plumbers Name_.. � � � ° - ' �_ }___ f , _M Location and Legal Description Lot- - - - - -- -- ------ -- _-- -___ -_ Block - -- �'�' LJ _• - - -. _--- - - - - -- Subdivision. - -__ /;...‘ ..... L . r. Street and Number where work is to be performed —No.J �� . Z - Street /Z. l a_ State work to be performed and purpose of building (By Floors) _ _?_4' J vt^ _ 1i._._ i 61 ! t I ^ .Ft . New Building Remodeling_ — __- _.•- _______ -__ -_— Addition. _._ -•_ Repairs No. of Stories. Date 4z 2 - P 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 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 Pennanent Supplement, and bus corn - 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. 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 hin; stated are true. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Master Plumber. 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 INKS SINKS SLOP SINKS LAUNDRY TUBE INAS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CONTR. � 1 1 ` �- f / _� • h- f. CHECK - r r SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR DEEP H EATER WELL SPRKLR. SYSTEM SWIM'G P001. CONTR. LIST LIST p /4k l --- _ CHECK Permit No 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or nnt. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ MIAMI SHORES VIL AG PLUMBING INSPECTION DEPARTMEi '; APPLICATION FOR PLUMBING ! No. __ - 9_^Z_ { Street (Signed). Registered Architect and /or Engineer . -------------- _ - __ -- . No._ _ ._. __--- __ -___ Street--._ Employing Plumbers Name_.. � � � ° - ' �_ }___ f , _M Location and Legal Description Lot- - - - - -- -- ------ -- _-- -___ -_ Block - -- �'�' LJ _• - - -. _--- - - - - -- Subdivision. - -__ /;...‘ ..... L . r. Street and Number where work is to be performed —No.J �� . Z - Street /Z. l a_ State work to be performed and purpose of building (By Floors) _ _?_4' J vt^ _ 1i._._ i 61 ! t I ^ .Ft . New Building Remodeling_ — __- _.•- _______ -__ -_— Addition. _._ -•_ Repairs No. of Stories. Date 4z 2 - P 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 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 Pennanent Supplement, and bus corn - 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. 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 hin; stated are true. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared My Commission Expires Notary Public, State of Florida Master Plumber. 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. MIAM SHORES VILLAGE, FLA. • N9 5282 JOB G ADDRESS . _ (; '/,`.>,•) . INSPECTION d A ; A' 'lie TIME READY ?q ., 11 -- 03 , REMARKS. 0 % .' a -1<. - -e 2) .-n 'ECTOR DATE