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990 NE 100 St (6)I'enni: No. um is hereby mdse for the approval of the detailed statement of the plans and specifications herewith subr.tt'.., structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi; • 4, all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatir of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec "'lidding during progress of work. , '.>wnei s Name and Address A. .egist.red Architect and /or Engineer :mploying Plumber's Name b/ 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 Amount of Permit $ 10 t 0 STATE OF FLORIDA, COUNTY OF DADE. as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Size Septic Tank_._ -- _ ..Type of Tank__ _ Capacity ^ ,als. Feet of Drain Tile ..- -___ _ __Dist. Feet of Tank or Drain Field from Well ..... ....... .---- -_ - ... Nature of Water Supply: City — Well.___— ._____- __.--__-____________ ._.._Size of Soakage Pit (Signed)_ No ._------ _ -.— .... a..,...,. Street Addition_..____. Repairs No of Stones ( Signed) __ —_ -. Date ..._ 1O Street L.IJemW\..fc- eet .._.. Subdivision 1 for the building or other Shores Village, Florida, . of the Building Division fications most be kept at Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n;,loyer of i h y under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F orida Permanent : um lenient, and has ..-om•• vlied with the provisions thereof, and will require similar compliance from all contractors or sub- t, Ctors employed 1 y him in ' ,. 'A1 ric v b- performed under this permit; and will post or cause to be posted' for inspection on the site o ]. yy ork such pt bl' notice no ice,. a? •rs requ+red by the Act. The undersigned agrees to employ only such sub - contractors, on f l � l4.. T. performed •?;a this ,, :r.ti■, id . licensed by Miami Shores Village. /114I/ C•42. ;,;�.,pt.• ►mss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclawwledgntents, per; ».i ! . ppear•c. to me well known, and who, being by me first duly sworn, upon oath oses and says that he is the ........................... of the above described construction, that be has carefully read the regoing application, and that he did sign the same, and that all acts therein by hin, 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•neoessary by improper notice for inspection, ur butt) materials and /or workmanship. s CLOe[Te BATH TUBE SMOW[Ra LAVA- TORIES SINKS SLOP SINK[ LAUNDRY TV•• URINAL[ CATCH BASIN FLOOR DRINKING DRAIN FOVNT'Ne TOT..L PIXT& RES CONTR. CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR M DEEP WELL SPRKLR. SYSTEM SWIM•O POOL -_ CONTR. LIST I r . -.•�— l -_ ^ CHECK .� _ I'enni: No. um is hereby mdse for the approval of the detailed statement of the plans and specifications herewith subr.tt'.., structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mi; • 4, all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatir of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec "'lidding during progress of work. , '.>wnei s Name and Address A. .egist.red Architect and /or Engineer :mploying Plumber's Name b/ 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 Amount of Permit $ 10 t 0 STATE OF FLORIDA, COUNTY OF DADE. as. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Remodeling Size Septic Tank_._ -- _ ..Type of Tank__ _ Capacity ^ ,als. Feet of Drain Tile ..- -___ _ __Dist. Feet of Tank or Drain Field from Well ..... ....... .---- -_ - ... Nature of Water Supply: City — Well.___— ._____- __.--__-____________ ._.._Size of Soakage Pit (Signed)_ No ._------ _ -.— .... a..,...,. Street Addition_..____. Repairs No of Stones ( Signed) __ —_ -. Date ..._ 1O Street L.IJemW\..fc- eet .._.. Subdivision 1 for the building or other Shores Village, Florida, . of the Building Division fications most be kept at Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e n;,loyer of i h y under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F orida Permanent : um lenient, and has ..-om•• vlied with the provisions thereof, and will require similar compliance from all contractors or sub- t, Ctors employed 1 y him in ' ,. 'A1 ric v b- performed under this permit; and will post or cause to be posted' for inspection on the site o ]. yy ork such pt bl' notice no ice,. a? •rs requ+red by the Act. The undersigned agrees to employ only such sub - contractors, on f l � l4.. T. performed •?;a this ,, :r.ti■, id . licensed by Miami Shores Village. /114I/ C•42. ;,;�.,pt.• ►mss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclawwledgntents, per; ».i ! . ppear•c. to me well known, and who, being by me first duly sworn, upon oath oses and says that he is the ........................... of the above described construction, that be has carefully read the regoing application, and that he did sign the same, and that all acts therein by hin, 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•neoessary by improper notice for inspection, ur butt) materials and /or workmanship. s BUILDING ❑ ELECTRICAL ❑ PERMIT PLUMBING ❑ N. o 9984 ROOFING ❑ Architect „ ontractor or Builder Legal Description Address of Building Lot y' MIAMI SHORES VILLAGE. FLORIDA Owner of Building CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit Signed: Subdi- vision DATF. 2 Contractor's License Now'' t Sq. Ft Value of Project $ _ BY"'- Amt. of Permit $ 196 ) 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 hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agetit, servant or employee. BY AUTHORITY 17 Permit No 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_ Registered Architect and /or Eng irlgr Employing Plumber's Name . ..... L 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 _------------ ._...._ -_ -- Remodeling Size Septic Tank Feet of Drain Tile J Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 7'' ;h4i T r e 3 CP 3 Date ...3 ___' ./1�..�/ No._. 9 q ..V _ Street_._ Q,, a.:44e Liz/ Street--_- -„�Ke Block_ Subdivision Addition________ Repairs No. of Stories Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit ( Signed )_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su• plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe performed under this permit; and will post or cause to be posted for inspection on the site of the work such pu required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo licensed by Miami Shores Village. _ My Commission Expires Notary Public, State of Florida g Inspector. employer of labor ement, and has con- y him in the work to be c notice or notices under this permit, Plu Master Plumber. 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. as are as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 TORItS SINKS SLOP SINKS LAUNDRY. rues I NALS URINALS CATCH BA81N FLOOR DRAIN DRINKING DRINK FOUNT' NS TOTAL FIXTURES CONTR. LIST / �� 7 2? {r/��J /'I IIEA CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT -GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No 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_ Registered Architect and /or Eng irlgr Employing Plumber's Name . ..... L 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 _------------ ._...._ -_ -- Remodeling Size Septic Tank Feet of Drain Tile J Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING 7'' ;h4i T r e 3 CP 3 Date ...3 ___' ./1�..�/ No._. 9 q ..V _ Street_._ Q,, a.:44e Liz/ Street--_- -„�Ke Block_ Subdivision Addition________ Repairs No. of Stories Type of Tank Capacity Gals _Dist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit ( Signed )_ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Su• plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe performed under this permit; and will post or cause to be posted for inspection on the site of the work such pu required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo licensed by Miami Shores Village. _ My Commission Expires Notary Public, State of Florida g Inspector. employer of labor ement, and has con- y him in the work to be c notice or notices under this permit, Plu Master Plumber. 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. as are as are Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 - - -- - - - - -- Date �c 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or (Abel structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name -Ql� -r--� • r �_.._ No.____.. _....---- _ - -_._ Street__ - Location and Legal Description Lot--__---.-.-_ ........... __ ..... ___-_-_-__.___ -_ Block Subdivision Street and Number where work is to be performed —No • . �a v _ Il,. Street_ Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors ) _ New Building Remodeling Addition 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 No. — _ ( Signed) _ Street Repairs No. of Stories 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 Pennanent Supplement, and has r,•,n- 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 ' Ts as are required by the Act. The undersigned agrees to employ only such sub - contractors, on • ork to be perfor , d under this pef�iit, as arc licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized 'dminister oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he, did sign the same, and that all tau 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS RIES mime TO SINKS SLOP SINKS LAUNDRY TUSB UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTUREI CONTR. LIST __ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WILL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. - 1 - - -- - - - - -- Date �c 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or (Abel structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name -Ql� -r--� • r �_.._ No.____.. _....---- _ - -_._ Street__ - Location and Legal Description Lot--__---.-.-_ ........... __ ..... ___-_-_-__.___ -_ Block Subdivision Street and Number where work is to be performed —No • . �a v _ Il,. Street_ Amount of Permit $ ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT State work to be performed and purpose of building (By Floors ) _ New Building Remodeling Addition 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 No. — _ ( Signed) _ Street Repairs No. of Stories 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 Pennanent Supplement, and has r,•,n- 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 ' Ts as are required by the Act. The undersigned agrees to employ only such sub - contractors, on • ork to be perfor , d under this pef�iit, as arc licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized 'dminister oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he, did sign the same, and that all tau 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 faul materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building n MI 3 MI SHORES VILLAGE, FLORIDA DATE PER/MIT N? 11997 R ......' Work to be performed under this Permit CONTRACTOR OR BUILDER BI. Subdi- vision • f 1 •� Value of Project $ Contractor's License No Amt. of Permit Signed 1 '.�... S • ...� BY AUTHORITY 195 • This permit is granted to the contractor or iilder named above to construct the building or to install the equipment or device described in the application' herefor in strict compliance with all ordinances petaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may hac 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 sucrordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or,uilder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shot 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 BY In consideration of the issuance to me of this,erinit I agree to perform the work covered hereunder in compliance with all ordinances and regulations In pertaining thereto reto and in I conformity responsibility ormit th for with drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n work done by either, myself, my agent, servant or employee. No 1/ 7 he Septic Tank__. — &C _O i ' -. Type of Tank Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT cation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other cure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, .Florida, 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 .4iami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at lding during progress of work. wner's Name and Address �c { « ��"�'� ��' No 1 p : 70 P Street /0 registered Architect and /or Engineer Employing Plumber's Name e, _ 411 J_F ° `.5 No 1' Al') 7 Stfeet Location and Legal Description Lot © Block_ Subdivision `? 2 Street and Number where work is to be performed —No / t © Street State work to\ a performed and purpose of building (By Floors) - Ao ?StAtte - New Building r Remodeling Addition Repairs No. of Stories Feet of Drain Tile___�� F j d Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well l_t • f: c Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understaYids 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 employ d by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the ,s ite of the work such pu lic or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, g work to be perform under this /rm�it, as„are l icensed by Miami Shores Village. A r ',q v , ,. + A , At -s„,," - ,z 'r v i ) 4), 4 k . f STATE OF FLORIDA, 1 s. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the 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 N I • A re- inspection fee of 0.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty mate +' : s and /or workmanship. (Signed) (Signed) Date 91x4 Capacity Gals 4 c" Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS 4,‘ 04(4( it \ TOTAL FIXTURES CONTR. LIST Z / i/ � . .. 1' ( / d - � CHECK i! �" �). S SEPTIC TANK SEWER CONN. � I DRAIN FIELD SOAKAGE PIT E ASE GR TRAP S HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL N ' 10ft..0 4 1 CJ' � • i CONTR. LIST 2 Z 1 • CHECK /y/ Aj ci•:d .-`. l� A / °�� j , ia�+ , , R , r p No 1/ 7 he Septic Tank__. — &C _O i ' -. Type of Tank Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT cation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other cure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, .Florida, 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 .4iami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at lding during progress of work. wner's Name and Address �c { « ��"�'� ��' No 1 p : 70 P Street /0 registered Architect and /or Engineer Employing Plumber's Name e, _ 411 J_F ° `.5 No 1' Al') 7 Stfeet Location and Legal Description Lot © Block_ Subdivision `? 2 Street and Number where work is to be performed —No / t © Street State work to\ a performed and purpose of building (By Floors) - Ao ?StAtte - New Building r Remodeling Addition Repairs No. of Stories Feet of Drain Tile___�� F j d Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well l_t • f: c Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understaYids 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 employ d by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the ,s ite of the work such pu lic or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, g work to be perform under this /rm�it, as„are l icensed by Miami Shores Village. A r ',q v , ,. + A , At -s„,," - ,z 'r v i ) 4), 4 k . f STATE OF FLORIDA, 1 s. COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the 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 N I • A re- inspection fee of 0.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty mate +' : s and /or workmanship. (Signed) (Signed) Date 91x4 Capacity Gals 4 c" Master Plumber. 0A•, N W 60. c 4 ' Jr 3" i z .. &?v`