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PLUMBING PERMITPermit No. __ -_ A -.' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 171-4-41 7 / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othin 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 at building during progress of work. , Owner's Name and Address __ - • No. Street 7c5- 4 Ea • Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No. Street Amount of Permit $ Block__ No. - -- - - - Street_ to. 7>1. w• T 3 -ett - • Subdivision State work to be performed and purpose of building (By Floors ) _ New Building___. Remodeling Addition____ Repairs No. of Stories Size Septic Tank Type of Tank_ Capacity Gals.. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water S 1 •ply: City —Well. __ Size of Soakage Pit My Commission Expires �_. (Signed)_ t Plumbing I nspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this perniit, as art licensed by Miami Shores Village. (Signed) ---- • STATE OF FLORIDA, COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all Etc therein by him 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 faul materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKI NO FOUNT' NS TOTAL FIXTURE! CONTR. LIST -- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK Permit No. __ -_ A -.' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date 171-4-41 7 / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othin 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 at building during progress of work. , Owner's Name and Address __ - • No. Street 7c5- 4 Ea • Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be performed —No. Street Amount of Permit $ Block__ No. - -- - - - Street_ to. 7>1. w• T 3 -ett - • Subdivision State work to be performed and purpose of building (By Floors ) _ New Building___. Remodeling Addition____ Repairs No. of Stories Size Septic Tank Type of Tank_ Capacity Gals.. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water S 1 •ply: City —Well. __ Size of Soakage Pit My Commission Expires �_. (Signed)_ t Plumbing I nspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this perniit, as art licensed by Miami Shores Village. (Signed) ---- • STATE OF FLORIDA, COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all Etc therein by him 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 faul materials and /or workmanship. ING KCAL PLUMBING e r of Building /, g Architect ;contractor or Builder - , )k Leg'. Lot 'ption Address of Building This EIS C-4i CON R Work to i be performed under this Permit t. €UIL MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9073 r Subdi- vision. Value of Project $ DATF /),"/ .1 < , c� / 19S Contractor's License No. Amt. of 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 # 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 gran is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations per • 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 agents, servants or employees. f ,/ / Signed. r 't . /' i f' ;'' BY i i f r ,' INSPECTOR I In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. / LY Date__ (!l11 C _ � � ._ f L ! ■t-J g 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 not. A copy of approved plans and specifications must be kept at building during progress of work. ^� )- Owner's Name and Address/ 6i- / 3 - }) s' 1 �- No 1' 1� =__ Street / 61) , / / Z 2_ Registered Architect and /or Engineer Employing Plumber's Name No Street 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 Repairs Nature of Water Supply: City —Well Amount of Permit $___ 0 J ss. _ (Signed) No. of Stories__ - Size Septic Tank Type of Tank_ Capacity Gals. Feet of Drain Tile 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 ufderstands and accepts his oblig3 as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - - -.ZL ,., !!_ 5fL.1. . �f Master Plurnber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. — My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. ET LIST / - CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP • WELL SPRKLR. SYSTEM SWIM'G POOL ' /• e , / 77��� G �� c..^�.�i+-t P. CONTR. LIST j�G(/l CHECK y� c�'t MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. / LY Date__ (!l11 C _ � � ._ f L ! ■t-J g 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 not. A copy of approved plans and specifications must be kept at building during progress of work. ^� )- Owner's Name and Address/ 6i- / 3 - }) s' 1 �- No 1' 1� =__ Street / 61) , / / Z 2_ Registered Architect and /or Engineer Employing Plumber's Name No Street 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 Repairs Nature of Water Supply: City —Well Amount of Permit $___ 0 J ss. _ (Signed) No. of Stories__ - Size Septic Tank Type of Tank_ Capacity Gals. Feet of Drain Tile 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 ufderstands and accepts his oblig3 as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - - -.ZL ,., !!_ 5fL.1. . �f Master Plurnber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. — My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING J CONTRAQTOR OR BUILDER MIAMI SHORES VILLAGE, FLORID DATE °R PERMIT N° 7990 Work to be performed under this Permit Owner of Zri Bu ilding �� �-�'r �.� f. .. _, ,• Architect j' f) • Contractor or Builder„/ L." r / ` < ,�• ,, "... *k 4--; k. S, Legal Lot 4- Bl. Description Address of a'' 'f Value of Amt. oi -� Building ? • _,, `, .. Pr oject Permit This per nit is granted to the c ontractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 respon- sibility for work done by his agents, servants or employees. Signed- • P ! ` . a .+, .B INSPECTOR In consideration of the issuance to me of this permit I agree to performeEh " e work covered hereunder in compliance with all o> itiances and regulations. pertaining thereto and in strict conformity with the plans, drawings, statem t or specifications submitted to the proper authoriSO 'bf Miami Shok.e,s l,�get In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. . Subdi- vision BY • - t.. . g r n tractor's `cense No. • AUTHORITY 194 ST LIST ��/ CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP H EATER WELL SYSTEM POOL ' CONTR. LIST CHECK Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications here 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 ,ll1G�t ��_�a cam- -� - �' ` - No � Street • 7 /0 Registered Architect and /or Engineer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Employing Plumber's Name '71-44 6% y_ —� t -- = • • • •• /. • • -- - �e No Street Location and Legal Description Lot- .21.4 1 W. 11 ._tf }_�✓_______ Block ____!.l Subdivision_ S S . Street and Number where work is to be performed —No 7 Street . 7 Le 1 / • State work to be performed and purpose of building (By Floors) 1 New Building __- _.____J" Remodeling Addit;on Repairs Size Septic Tank Type of Tank Feet of Drain Tile Nature of Water Suppl Amount of Permit $ ss. Dist. Feet of Tank or Drain Field from Well ell Size of Soakage Pit (Signed) e -` = ---t ''� • Date. - te ."•�'.-- /& ---- t . subm No. of Stories Capacity Gals. The undersigned applicant for this building permit does hereby certify that h'u and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �iCGt. r (Signed) ' - _ • t f i Master Plumber. My Commission Expires Notary Public, State of Florida Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 T BATH L SHOWERS T LAVA- S SINKS S SLOP L LAUNDRY C URINALS B CATCH F FLOOR D DRINKING O OLT'S, " " T TOTAL CONTR. 1 1 / / , , — - Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications here 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 ,ll1G�t ��_�a cam- -� - �' ` - No � Street • 7 /0 Registered Architect and /or Engineer MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT • Employing Plumber's Name '71-44 6% y_ —� t -- = • • • •• /. • • -- - �e No Street Location and Legal Description Lot- .21.4 1 W. 11 ._tf }_�✓_______ Block ____!.l Subdivision_ S S . Street and Number where work is to be performed —No 7 Street . 7 Le 1 / • State work to be performed and purpose of building (By Floors) 1 New Building __- _.____J" Remodeling Addit;on Repairs Size Septic Tank Type of Tank Feet of Drain Tile Nature of Water Suppl Amount of Permit $ ss. Dist. Feet of Tank or Drain Field from Well ell Size of Soakage Pit (Signed) e -` = ---t ''� • Date. - te ."•�'.-- /& ---- t . subm No. of Stories Capacity Gals. The undersigned applicant for this building permit does hereby certify that h'u and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled eneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �iCGt. r (Signed) ' - _ • t f i Master Plumber. My Commission Expires Notary Public, State of Florida Plumbing Inspector. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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. P I , S Noui )A. A l LA ( kr ■- L 4" Permit No (2 - 7 Aj 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 comp 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 Engineer____ Employing Plumber's Name1 _Jl_ / 4.1_ _al 21 Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Su and Number where work is to be performed—No. __ 7 - _ —. Street State work to be performed and purpose of building (By Floors) __ -_ i__. f Size Septic My Commission Expires _.Type of Tank _Dist. — 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 $ 1 o 5-2 (Signed) -- � Date - v' J 77 5 - I.. !__ ---.----- / Street -6 .. C No..__.. / _ S Street __ S S New Building _ —. __..___ Remodeling____ Addition Repairs L. to/ ,s/ u bdivision /0/6 2 Loc. . No. of Stories . . .............. . Capacity Gals tubing 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 ' -. nanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all .,,... • s or sub - contra or 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 of the o such public notice or notices as are required by the Act. The undersigned agrees to employ only such su• •�,`rs, on .� : •e po •' under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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•..' In, or faulty materials and /or workmanship. CLOBETB BATH TUBE SHOWERS LAVA- TORIES INKB SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•N6 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 (2 - 7 Aj 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 comp 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 Engineer____ Employing Plumber's Name1 _Jl_ / 4.1_ _al 21 Location and Legal Description Lot MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Block Su and Number where work is to be performed—No. __ 7 - _ —. Street State work to be performed and purpose of building (By Floors) __ -_ i__. f Size Septic My Commission Expires _.Type of Tank _Dist. — 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 $ 1 o 5-2 (Signed) -- � Date - v' J 77 5 - I.. !__ ---.----- / Street -6 .. C No..__.. / _ S Street __ S S New Building _ —. __..___ Remodeling____ Addition Repairs L. to/ ,s/ u bdivision /0/6 2 Loc. . No. of Stories . . .............. . Capacity Gals tubing 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 ' -. nanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all .,,... • s or sub - contra or 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 of the o such public notice or notices as are required by the Act. The undersigned agrees to employ only such su• •�,`rs, on .� : •e po •' under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.___ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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•..' In, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder j Legal Lot II Bl. Description Address of Building 1S 1 MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 14372 ❑ Work to be performed under this Permit Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • � "` :�... �� BY / INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER DATE - Contractor's License No Amt. of Permit $ BY AUTHORITY 195