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1177 NE 91 Terr (5)Legal DescriptionC /!`? 027 qe4V `� X• Owner's Address Contracting Co. a � C' Address 1 8' (1 i co a Qualifier - Phone G. 2/ ei State # 54 1:17 7 Municipal # h (ot'S Competency # J 76 CSS "Ins ».::C.✓ 1- -/'-' . Architect /Engineer J Address idlit Bonding Company 11) Address , A- Mortgagor N �i'' Address N i‘ Permit Type(circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION eIG Square Ft. 3 (2a Q Estimated Cost(value) o 6 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done 'n compl' -� with all applicable laws regulating c struction and zoning. Furthermore, I author e / h me • contractor to do the work stat Si : ature o Date: • .+I!+' • • Eary asrt, .,�� I My Commis$ 4fr 1! +� ' � g� ** * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE "7--474e t 8' Job Address J J 11 /" 6 �/ ax Folio � 3a �,�o/ O/90 6 1;p 7 / Lessee Tenant O Master Permit # -31 I - 7 - I NF q1 `/Ileie> Mechanical tiFy esident s Wy :Commisslon Expires Jan. 21, 1996 : ,oF Comm. No. CC 171522 * * * * * President / Phone '7 S' 7 33 27 CHANICAL ROOFING PAVING FENCE SIGN AID S e r g - ' C ongtAittco COOONOwner- Builder My . 40 I: , -i O @Jt lsion Expires .4 . . . � . Jan. 21, 1996 '•; PW";• *4 Comm. No. CC 171522 * * * * * * * * * ** FEES: PERMIT.5O`al RADON C.C.F. 'I NOTARY TOTAL DUE ,3©iJ e APPROVED: Fire Other Zoning Building , Electrical Engineering 0 T H E R LOT: APPLICANT: �. • PROPERTY ID #: SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC CONSTRUCTION PERMIT FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Temporary /Experimental [X'] Repair [ ] Abandonment [ ] Other(Specify) PROPERTY STREET ADDRESS: BLOCK: SUBDIVISION: SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPECIFICATIONS T [ •-^ ] [GALLONS / GPD] SEPTIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ ] [GALLONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D [24 1) ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED I CONFIGURATION: [ ] TRENCH [X] BED N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ E BOTTOM OF DRAINFIELD TO BE [ L D FILL REQUIRED: [ ] INCHES ;( _ t AGENT: � r � '1 d0 G; . r t ' ,' 7 �c n [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] [OR TAX ID NUMBER] ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ ] INCHES TITLE: TITLE: HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016-0) APPLICANT PERMIT # DATE PAID FEE PAID RECEIPT # 1 c13_ _ 2 r [ ] MOUND [ ] [ EXPIRATION DATE: Page 1 of 2 APPLICANT: APPLICATION FOR: [ ] New, System [ t„gpair AGENT: MAILING ADDRESS: STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 10D -6, FAC TELEPHONE: PERMIT # DATE PAID FEE PAID $ RECEIPT # [ ] Existing System [ ] Holding Tank— - -F j � Te ofary /Experimental [ ] Abandonment [ ] Other(Specify) / 1:"P-. C TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND TO -SCALE SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 1OD -6, FLORIDA ADMINISTRATIVE CODE. PROPERTY INFORMATION [IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTION OR DEED] LOT: PROPERTY ID #: PROPERTY SIZE: PROPERTY STREET ADDRESS: DIRECTIONS TO PROPERTY: 1 2 3 4 BLOCK: BUILDING INFORMATION Unit Type of No Establishment APPLICANT'S SIGNATURE: SUBDIVISION: DATE OF SUBDIVISION: [Section /Township /Range /Parcel No.] ZONING: ACRES [Sgft /43560] PROPERTY WATER SUPPLY: [ ] PRIVATE [ "PUBLIC I i _ .J L [„ RESIDENTIAL No. of Bedrooms HRS-H Form 4015, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744-001- 4015-1) 1 [ ] COMMERCIAL Building # Persons Area Sgft Served Business Activity For Commercial Only [ ] Floor /Equipment Drains [ ] Garbage Grinders /Disposals [ ] Spas /Hot Tubs [ ] Ultra -low Volume Flush Toilets [ ] Other (Specify) DATE: Page 1 of 3 INSTRUCTIONS: APPLICATION FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: Property owner's legally authorized representative. MAI, ING ADDRESS: P.C. box or street, city, state and zip code mailing address for applicant or agent. LOT, BLOCK, UBDI\'iSION: Lot, block, end subdivision for lot (recorded or unrecorded subdivision). If lot is not in a recorded subdivision, a copy of the lot legal description or deed muat be attached. i:<'? T I•: OI; SIJ t IVISION: Official date of subdivision :eccrded in county plat books (month/day/year) or date lot originally recorded. Dividing an approved lot into two or more parcels for the purpose of conveying ownership shall be considered a subdivision of the lot. PROPERTY ID#: 27 character number for property. (CPHU may require property appraiser 7S :$ or section/township/range/parcel number. PROPERTY SIZE: Net usable area of property in acres (squares footage divided by 43,550 square feet) exclusive of all paved az Vat and prepared road beds within public rights -of way or easement': and e ; :eiasivc of streams lakes, :?.._•-^ally wet drainage ditches, marshes, or ether such bodies of water. Contiguous unpaved and noneorrpacted road rights-of-way and easements with no subsurface obstructions may be included in calculating lot area. WATER SUPPLY: Check private or public. PROPERTY ADDRESS: Street address for property. -or lots without an assigned street address, indicate street or road and Locale in county. DIR. E_CTIONS: Provide detailed instructions to lot or attach an area map showing lot Iocation. BUILDING INFORMATION: Check residential or commercial. R :5ST,IL�LISHMENT: List type of estebtirhment from is able II, Chapter 1C1 , FAC. Exar_-pi:;s: single fa:riily, single avide mobiIo home, restaurant, doctor's office. NO. BEDROOMS: ?IM-DIN AREA: # PERSONS: 3USIN! -iSS ACTIVITY: FD7URES: SIGNATURE: A PM.ENTS: Count ell rooms designed primarily for sleeping and rose areas expected to routinely provide sleeping aecommodaticr.s for occupants. Total square footage of enclosed habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or (filly scr; erred patios or decks. Eased on outside measurements for each story of structure. Number of persons residing, using, or working in establishment. :'or residential establishment, 2 persons per bedroom are assumed. For commercial applications only. List number of employees, ahiaa, and hours of eperation, or other info: elation required by Table II, Chapter IOD-6, FAC. Mark each listed fixture with number installed or "NA" if not applicable. Signature of applicant or agent. Date application one day submitted to the CPI-111 with appropriate fees and attachrne :ts. A site plan drawn to scale showing ::c:. ?nd;_.: a with r'i--...ricna, locations of :void :.uses c: uiidin a, awirriT n, ; pools, recorded r ^'r ^- onsrts r ^wogs disport nysi ^-� e ^.-•pane - *.: , _ - 1 'ccaZior r.'or " ty, . ^y .xie' .,, wells 1:?ui_ tutu... a`. ompc _ r • slat rd . t .�abe rind ..:'f :6. ^, 4J!'.'.6r. :.e.._._ O" .^.f C1C. 8s_. h �..,�d a .. SS::_ 5:4r. ^117" r, hJ.i..r.CO ;ustli.' -%, and �, :.. :i :......_. < : :c :y �' , . _. 4J_f" 75 he a :: t i6,an'.:...... .i a. O..' of : .) public well within 200 feet of :et. d' . ........... tutu_. :. Oe. _..cJ ..; _. .. - ,.. ,.._ 71 ; , ^. :. t: Y.: ; " " iC. .._ �... '_ectL'.'.:._ ...e'6.^.,.rary cc.`po - itio. and quantity ofwaatswate_. - 4 , I STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT - Permit Application Number PART II SITE PLAN r --- , — 1 _1 _[ . 1 •,. ' 1 Lp :: 11_1_1,1 ; ,!1 i!1 Hi . II : .i ! ' 1 i , 1 . , . ■ i-- F 1 ' .... 1 g ', j_ ... 1 ... _ _ ■ 1 1 . i 1 1 1 1 / i 1 ' 1 ■ 1 . - - 17171E! 1 '.-1---. 1 I , , 1 i :11 / 1 1 1 1 1 ■ L ; 1 1 ' 1 ' 1 1 17 .-'.. ri _ 1 1 ., 1 ■ 1 i L i 1 1 1 ' 1 1 1 1 i, 1 1 111 , 1 i -I 1 1 1 1 1 ! , 1 1 H ! iti tr 1 '11 1 1 !! --.' 1 -,-.. - 1 - , ri r ; 1 E ' I 1 1 L.I__; , 11717 1111H1Fht , H1,1 ILI i it, : T 1 1 i -- 1 - i 1 1 [ 1111I 1111 1111 ,.._ ,1 ! in ,I i II 1, 1 1 • ! 1 ,a ,,, E . .. - 1 ';" ' '('''1" 1 7 j - r , I 1 1 1 1 - - - . --",- - 1- _ - _i:i - 1 L 1t t . t , 4, f I_ 1 1 1 _ j , Pjl: 1 i , 1 , 1 . 1 Li ' ''.' I 11 ' : 11 1 , i 1 1 i . -,' . J , , , 1 I It Lr 1 r ri _._" . _ , _ ; 1-1 --, ; i_L 1 1 1 1 r 1 1 1 '1 t111_, 1 i . I ; 1 - i ! - 1 t , - 1 - 1 1 _u,.11 1 II 11111__L 1 l .. t 1 1 I L ilil - C - 1 . 11 - 1:1 Irli L 1 1 H1 _1_ ___ -____L. : 1 _ i _L__ _ ''{ r 11 ,..,.... 1 1 • - ' — 1 1 ! 1111. 1 ri 1 Jr_ 1 1 1 . , _ ' 1 • , , [ • 1 i : : 1 , I 1 i ' 1 : _1 1 • 1_ , ] ' 1 1 _1 L i 1 i ,1 . 3: ... H 1 i l '-; ' , : , , 1 --f .......1 1 ..,;„,„,,,,,,.4,-,J 1 _1 „ .;„... , . :,,,, _____ _ ________ : •i• 1 , ■ t ,_, 1, 1 :. , 1 , -- - - - - ------ _._ , J , i , 1 1 : ■ , . i i -- 17 i , ij ii , 1 ! , r i _ii .. _ii ,. r i 11 ■• F. i 1,, .--t 1 , , , 1 1 : • ! , , : 1 1 i it , 1 , 1 1 i ; I re' ; 1 [ 1 1 H 1 .. [ • , i-t -I- .1 ...... ..,..,,_ _4.XL_ ___E. 1 ....,......L ii, ' , (7.!..1 '.., IL ,I. • • , , , . . , 1 ' 7 , i 1 ' L ' _i_ 1 ' ' I I i I 1 1 Li i . [ i 1_ 1 • _1 ! 1 L i 1 1 1 i =.. , t 1 ,... , . -- I , ,• 1 , ] 1 .1 I '-- t : _ -,_- flJII _f 1 I 1 1 1 ; 'r ' _ -1 11 n I I 1 11 1 II: II I 1 : , 1 III ' 1 11 r_11 1 I : 1 7 1 1 1 : 1 1.' 1 111 11 11 1 117 lii 1 1 ! Notes Site Plan Submitted by: HRS-H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number: 5744-002-4015-6) SIG Plan Approved . Not Approved Date " \- ____ 7- i . _j --,\, 2_ '----1 7 : 1L.:$4.....#1,‘7V County Public Unit By ., _...i.---" -.:- — , ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT Page 2 of 3 7:342' �—• Permit No. ____ Size Septic Tank _____ __ - Feet of Drain Tile____- 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 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. I I Owner's Name and Address " � ° (2L ri,Z �sC 'Y - No._ ii ri -- / ---- - - -___ Street C'' 1� Registered Architect and /or Engineer _____ ________ —_____ ___— _______________ Employing Plumber's Name4_b , � " _—.L . e va c,' _- t` _- = .//'''„ ��_.ANo.__ - - -_ / - -z i.:_ _ Street_- -- =�� --- -- Location and Legal Description Lot_ Blor>< Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors).. __-.__, L—!____ _____, Q_y� = : - -- � C ✓ » " e New Building __ —_ ___ Remodeling_______ Addition Repairs Type of Tank_____ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____ ........ ______ _ ________......... _Size of Soakage Pit Amount of Permit $-- - - - - -- --- - - - - -- STATE OF FLORIDA, COUNTY OF DADE. (Signed)- Street. Date its / - - - -. lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: o• as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman 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 pu lic notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to'/ 3e perfor d under this permit, as are licensed by Miami Shores Village. 4 -- (Signed) ., Before me, the undersigned authority, a notary public, duly authorized to administea 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. No. of Stories. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS R INAlB URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK 7:342' �—• Permit No. ____ Size Septic Tank _____ __ - Feet of Drain Tile____- 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 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. I I Owner's Name and Address " � ° (2L ri,Z �sC 'Y - No._ ii ri -- / ---- - - -___ Street C'' 1� Registered Architect and /or Engineer _____ ________ —_____ ___— _______________ Employing Plumber's Name4_b , � " _—.L . e va c,' _- t` _- = .//'''„ ��_.ANo.__ - - -_ / - -z i.:_ _ Street_- -- =�� --- -- Location and Legal Description Lot_ Blor>< Subdivision Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors).. __-.__, L—!____ _____, Q_y� = : - -- � C ✓ » " e New Building __ —_ ___ Remodeling_______ Addition Repairs Type of Tank_____ Capacity Gals __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____ ........ ______ _ ________......... _Size of Soakage Pit Amount of Permit $-- - - - - -- --- - - - - -- STATE OF FLORIDA, COUNTY OF DADE. (Signed)- Street. Date its / - - - -. lumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: o• as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Penman 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 pu lic notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to'/ 3e perfor d under this permit, as are licensed by Miami Shores Village. 4 -- (Signed) ., Before me, the undersigned authority, a notary public, duly authorized to administea 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. No. of Stories. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ' ` ° MIAMI SHORES VILLAGE, FLORIDA o PERMIT Na 4089 Architect Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER Work to be performed under this Permit _______ — B1 BY DATE '`" Contractor's License No. 19 Subdi- vision Address of .� Value of <".f ; F I1 Amount of T) ----- Building �" t.: g 0 • ' Project $ ` 9 1 1 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. 9 i.l Signed. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance 41th all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut}torities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • `t-. 1, 4 C -w AUTHORITY A51807 sew BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsibility fob • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 3695 B1 Work to be performed under this Permit BY DATE 19 Contractor's License No. - -- Subdi- vision Address of Value of I Amount of Building i 1 E % '' • t Project $ I 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 applica- tion 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 pad that he assumes respon- sibility for work done by his agents, servants or employees. f Signed . _. INSPECTOR of this permit I agree to perform the work covered hereunder in ' ompliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the p oper authorities of Miami Shores Village. In ac• all work done by either, myself, my agent, servant or employee , AUTHORITY ABBOT PRINT Owner of Building Architect Contractor or Builder Legal Description Lot . L L •a Address of Building 11'i 'j f' i CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT N? 8764 PLUMBING ROOFING El 4,z. . L r Bl. Work to be performed under this Permit Signed• E <. t3 Subdi- vision c SQ. Ft 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. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered he under in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub itted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, se ant or employee. f DATE CI - 1954_ Contractor's License No BY Amt. of Permit $ BY AUTHORITY