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BUILDING PERMITS 790 NE 91 STNew Building Remodeling Building Inspector MIAMI SHORES VILLAGE , -z3 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 not. A copy of approved plans and specifications must be kept at building during progress of the work. e d'..1,. ° we. 1� Date Owner's Name and Address . _ Registered Architect and /or Engineer.. ' DAP tyY) ° O WI50UIY(4 Name and address of licensed contractor. .C e /3 A 7 .11 Eie No Notary Public, State of Florida 72 19 e?; Street .- netil. /611(39P. PA ` r` /ECG A 2t ti IP ..41..E T /w, fp. P.L9* PARK ,1 q°11 P^ rNo e©. Location and legal description of b�lot to be b qt on: Lot-- 4--- 1g55._i G & & g l i b i FT ? ' . ? S u b d t y o n .'.-. A S fi!i e f Street and Number where work is to be done E. I __. S7Q State work to be done and purpose of building (by floors) ,V E 6 9 . 6 1 . / A u t 6 o Ob< and for no other purpose. Addition Repairs No. of Stories To be constructed of.._ _s Kind of foundation __ _R CC Bring.._ �. �Y . 7 Estimated Total cost of improvements $ — --'iRT0t � n ' Am ount of Permit $.._,.' _ .Ll t ° L9 Zone cubage required _Plan Cubage__._ !?__ __.t._ Distance to next nearest building. _P.__ Size of Building Lot..__ E 'g 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.___ . 0.2_nieil _ IY _ O I !.� 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, Compile. aws o ennanent Supplement, and has complied with the provisions thereof, and will require similar compliance n all co tractors or sub- contrac : -� em ° - yed by him in the work to be performed under this permit; and will post or cause to be p. e d for ins. > ion on the site of .e wo s i,public notice' or notices as are required by the Act. The undersigned agrees to employ onl such sub .�r. ��on wo.xi per . imed under this permit, as are licensed by Miami Shores Village. '� `► `�" Remarks (Si .: _ t t ! i 4/4....4 a 114 /41:41 CiVt STATE OF FLORIDA, I COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) My Commission Expires PLANNING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. atet , f - ./6 ,)‹ 1 TiL g 2 4 e) I7Fer A iT 2: ,17 ‘6 4jr, 4 /3 3,27, MIAMI SHORES VILLAGE. FLORIDA BUILDING re ELECTRICAL ❑ D DATR /14 a y z d 195 PLUMBING ❑ PERMIT No "- Co ntractor' , �J 77�� Z N41: f f1� l) i ei ROOFING j ' CI Work to be performed under this Permit 4 Owner of L Building `> 7 d•+' Architect CL"' " ^� �a ".1`) Contractor or Builder e a` >p . .a r 1 Legal Lot e �/ Description ' s c s t .i +� /if Bl ' t Address of (2/ Building 77& i Z. +' k CL -4 C.;< i Subdi- vision A51 k' �- P f'- IC- Value of ---I Amount of . 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 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 th " statements or specificcations a' that he assumes responsibility for work done by his agents, servants or employees. i 1, o� Signed. ... . 4:d �ru4. , � ' BY: INSPECTOR , / CONTRACTOR OR BUILDER '?!9 7 In consideration of the issuance to me -of this permit I agree to perform the work cover ,hereunder hereunder in compliance with all ordinances and regulations pertaining thereto and,in strict conformity with,the_plans, drawings, statements or specifications,jubmitted to the proper authorities of Miami Shores Village. In ac- cepting this permitf assia'ne rpsporrsibility ' all work done by either, myself, my agent, servant or employee. BY AUTHORITY 04 T , � = °� ' BUILDING PERMIT LICENSE X,' FROM E D "'g� Florida Hotel and Restaurant Commission OFFICE OF: STATE OF FLORIDA SUPERVISING ARCHITECT Before CC? StrLC" Cn Vol' t': - OF THE ; - - t . a �p ovtr„ i.11'. ". (J'.ctll.) c!Il IJ I N9 \ f, N Fees Received` Building Permit $ ' Inspection of Construction $ � Total Fee $ pc.. DISTRICT sank(. - ;iiic. �i;i.i. ;s iiot Vvi;J �Jlll. . I . ., "..`!,, , In consideration of the payment of fee as noted herein, receipt of which is hereby acknowledged, APPROVAL IS HERE- BY GRANTED for the erection {-e---remodeling). of a building or buildings as described and shown in specification and /or drawings prepared by an Architect registered in Florida, for the owner named, at the location shown, at the approximate cost given, and containing the number of rooms or number of restaurant seats as indicated herein. Architect: Owner. Location of Building: V, t. _ . , . , (Street and Number) City: ' -• County of: , Florida. Type of / Number of Rooms or Restaurant Approximate Cost without Occupancy: I .Seats or Curb Service: Realty or Equipment • THIS BUILDING PERMIT LICENSE NUMBER r ____. _. __ dated this ... ..........day of_______________ ____________.19_________, is issued only on the condition that in the construction or remodeling of the building or buildings herein described, every ap- plicable rule of the COMMISSION shall be complied with whether or not shown or noted in the specifications and plans which are identified by a stamp with permit number and date corresponding to the above, and signed and sealed by the Supervising Architect for the District. FLORIDA HOTEL AND RESTAURANT COMMISSION (Supervising Architect) Section 509.211, Paragraph 4. Before the erection or remodeling of any building for use as a public lodging or public food service establishment is begun, the registered architect's plans or registered engineer's plans, with detailed specifications, shall be approved by the supervising architect or engineer of the hotel and restaurant commission; all plans, specifications and draw- ings submitted for the purpose of securing building permits from any state, county or municipal building inspector, or other officer having like jurisdiction, shall bear the signature and seal of the architect or engineer and supervising architect or engi- neer of the hotel and restaurant commission before said building permit is issued; when such plans and specifications are sub- mitted to the supervising architect or engineer of the hotel and restaurant commission for approval, they shall be accompanied by a remittance of an amount equal to the license fee prescribed for an establishment of such size as provided in this chapter, provided that new construction or remodeling costing ten thousand dollars ($10,000.00) or less need not be accompanied by plans of a registered architect or engineer but scaled drawings shall be submitted to the hotel commission's architect or engi- neer for approval as a condition precedent to securing a building permit. Section 609.251, Paragraph (2) (b). Provided, that all hotels, apartment houses, rooming houses or other structures in course of construction shall be subject to and required to pay the same schedule of license fees for inspection during construction as they are required to pay for inspection when in operation as such. Section 509.251, Paragraph (4) (b). Provided, that all restaurants, lunch or sandwich stands or counters or other structures in course of construction shall be subject to and required to pay the same schedule of license fees for inspection during construc- tion as they are required to pay for inspection when in operation as such. POST PERMIT ON BUILDING DURING CONSTRUCTION. . •N —i t 227 Date I PERMIT APPLICATION FOR MIAMI SHORES VILLAGE C I ( Job Address 7 q Tax Folio 6 f 6 1 1 ' q 9 ' 141 9 Legal Description f; $ T F � O �- 4645 A✓ 12- Ff S^� U P1, r=, Owner / Lessee / Tenant 7 90 (' 0 01 0V(7 Master Permit # 3 6'5 5 1' 7 Owner's Address 7 g O l (L ( Si • Phone Contracting Co. ( (7 ) j N() ( VUCV (l15Pi it Address 3 Qo W o2Z s ' ► (q(k.4 -0, Qualifier GCS} rF) r ),Pc6 SS4t Phone gam? 0 3 /- � State #tC oorgR G C Municipal # Competency # Ins.Co. S'7,0114_ f 6`i Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN 05'76 / o I C L A/c f WO 40.0'" floc / ,41, paw, WORK DESCRIPTION (1- �1 GCrico(M jo I , W7(,,or\ / SK Agi �(( cp./ 4- i rrc, � P� Square Ft. Estimated Cost(value) L /n O 0 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 in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 1No rv)iI 1 8cP600 Signature of owner and /or Condo President Signature of Contractor or Owner- Builder Date: Date: Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: My Commission Expires: ** * * * * * * * * * * * * * * ** FEES: PERMIT 6.0 l ' RADON C.C.F. N " NOTARY TOTAL DUE .- . APPROVED: Fire Other Zoning Buildin_ ' I " Electrical Mechanical Plumbing Engineering Date I-7-qt/ Job Address 740 9 i 5 r Legal Description .64-sr A FT OF Lcv 4 6 N 7 9 Owner / Lessee / Tenant O (1 OP T Owner's Address 790 ,ui q I S Contracting Co. C) X Qualifier 04-tz` V . C PE4f State #CC,C 00i 57 i Municipal # Competency # Ins.Co. " =E F Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle on0 BUILDING TBLECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION APILH CC-417E2 C k -6Lic, o- ,4o (.c.1>4tc 1R44 ,J i t1 ti,e-t, 7Y44.1 P&A..4e E WI JOcWS 1r.1 / it A)4 Ait tothweL,TGH£!-/ 1eecAc.*€ -4ure4. ;) > SeiWj & 494 aa,,d(c bii 1 PtAciY:IC Square Ft. Estimated Cost(value) 4G�U 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, ROOPING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in c.. licence with all applicable laws regulating construction and zoning. Furthermore, I authoriz above bntractor to do the work stated � .. Jr/ I OLiViiL Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo My Commission Expires: ** * * * * * * * * * PEES: PERMIT RADON C.C.P. APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Mechanical ?EP.4- Address 3 q( Lc). 2 2 S % , 4. 14 M, D President rc FLORIDA i +. 16,1994 L 1'!S _ UN I) Z F r /45A0,1. PA-4. ss # - Plumbing Signature of Contr tor or Owner-Builder Date: Tax Folio 0-66,1 Zoning Building Master Permit # Phone Phone eta "7 -0:3 iS ‘..cm " '? i r P L.nAcir Notary as to Contractor or Owner - Builder My Commission Expires: * * * * * * ** NOTARY TOTAL DUE Fire Other Electrical Engineering PERMIT NO. TAX FOLIO NO. STATE OF (co lt- COUNTY OF .SAC) C NOTICE OF COMMENCEMENT THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following Information Is provided In this Notice of Commencement. 1. Legal description of property and street address: 79d A-1 gli; 5 7- 1 FT CIF ca 4 . `y 5 N /2 E'T A 5 evitAi PA-444 oe, 4 pa it d 2. DescrIption of Improvement: F q-CpCC 3. Owner(s) name and address: - 740 Cu O P TAJG Interest In property: Name and address of fee simple titleholder: 4. Contractor's name and address: C4 2.i;5,4a. 47k 39 ■■.> . '74- 5 - /-1 -,1 +1- 6.4-11 5. Surety:(Payment bond required by owner from contractor, If any) Name and address: 1_40 Amount of bond $ 6. Lender's name and address: o-' /P 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 71 3.13(1)(a)7., Florida Statutes, Name and address: r-/A- 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Llenor's Notice as_provided In Section 713.13(1)(b), Florida Statutes. Name and address: -/. Signature of Owner 9. Expiration date of this Notice of Commencement: date Is 1 year from the date of recording unless date Is specified) worn to and this 94R023431 1994 JAN 19 12:49 subscribed before me day of A ./dA na( , 19 /4,41(z/1 Notary Pub Ilc My Comm-i ss I on Exp.l -r-es -,. T(' e x p i r a t i o n d l f fe -ent ,; Al CTi!1T floR1FIA. ?.iii_ ;NS. u;Vp RE- OCCUPANCY APPLICATION Date _ S '-C \1 Contact Name D o x \( jci`'ly 5 - von , ' Y- . Phone #(Cc5c- k) 66-93 - 7 Buyer Seller Realtor Company Name Property Address • O \[ C \ st_ e �. � City Miami Shores State Fl , ' Zip 3 3 1� I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name �Y C , Job i) S Signature 0 a y* i a 90-itivt._ Crn The foregoing instrument was acknowledged before me this by 4�i.tL, who is personally known to me o who haste pro used ,L _ L Is and who did take an oath. NOTARY PUBLIC: Sign: Print: Rev. 10/02/03) Building Department My Commission Expi y H. Gown on#DD323870 Expires: - Mayes ; 2008 Miami Shores Village Permit No. Loc ID Q 00 '-C_ic .001-03 avows epue 111,,, 8Q0Z 1 9Z ¢PI : OL8£ZEQQ# uoissmnuo3 ; i, 1131100 •H A UTO -,,,, � ss Building Officials Approval: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 (6 C9 ( day of iZiffA__, 20 0 w / Re -Occ. $60.00 Notary CCF Total $5.00 $0.60 ITEMS SUB CONTRACTORS C & 'MOUNT 1. Architectural Fee (plans) . As halt (walks drives etc.) (�C 3. Cabinets - Bath Vani r 1 /1) / 4'1 Y( C ,, T.i Ft 49-i , (`'.4P-, 4. Cabinets - 'Kitchen �- 5. Cabinets - Medicine f 6. Cabinets - Unit Closet 7. Cleaning ' 8. Clearin_ Site i 7 9. oncrete - Foundation labs Beams // -' `,/ 10. Concrete - Walks, drives etc. ,41"0 ""ter 11. Contractors Fee - ►� 12. Electric Fixtures 13. Electric Wiring_ I r r' 14. Equipment Rental 15. Excavation v ■ _ 16. Fill for Slab �/rMljYM 17. Floors - Finish woo. & kitchen . '�� r�- 18. Floors - Terrazzo v ' c, i'. �..� e 19. G 20. Glass Slidin g Doors I c ; i ds �i �� e 21. Hardware - Finish _� 22. Hardware - Rouh --ti -cc 23. Heating r -4 ,e, 24. Insurance - Liabilit cam.. -bond �' 25. Labor - Payroll 26. Labor - Contract _ -'--. _ " 27. Labor o Contract II I �'� " 28. Landscaping, Fill, Gradin: �'�, « - _ _ >�� 29. Lath Plaster Stucco irirawrA s-4"-- r_ ��tii =MAIM 30. • umber All , r��" /., 31. Masonry Labor ",- ,--___, 32. Masonry Materials, Block 33. Millwork 34. Miscellaneous 35. Ornamental Iron Work '° h./ c7 V 6/444 36. Oven & Plate - Built •' 37. Sverhead 38. Painting is ,0 39. Permits Temporary Po* 40. Pilin: (Foundation) / 41. Plumbin: Com.lete `111EMI 42. Pool - Swimmin 43. Roofin: & Shee Meta 'pork C ' I 44. Roof Trusses - 're• -Va 45. Screen Enclosures 46. Se. tic Tank or Sewera:e -M _ PO /�i'�!� 47. Shower or Tub Enclosures 1 ��/� 1r 4PM 48. Steel - Reinforcin: & strl. ! ' ,/1�;' 49. Supervision 50. Surveys 51. Tile & Marble y _ - Vie. 1 52. Water - Public 53. Water - Weil & Pum. 54. Windows - Glazin: & Screens IIIISM / ///IMLMI 55. Window Frame - Concrete Miami Shores Village ° APPLICATION FOR FINAL INSPECTION Prior to a final inspection this application must be filled put; if sub contractors have failed to take out permits the general contractor shall be responsible for the permit and fee. A final :.ipection must be made prior to the release to Florida Power and Light Co. and the is eance of a certificate of occupancy. OWNER LOT BUILDEI BLOCK 12-4-4.2-1 JOB ADDRESS 7 SUB. oY DAY LABOR CONTRACT 19 .YP TOTAL MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL ❑ DATE (PLUMBING ❑ PERMIT N° 7887 8 8 7 Contractor's License No ROOFING El BUILDING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot R t CONTRACTOR OR BUILDER Bl. l -.L Subdi- vision Sq. Ft Value of Project $ U Amt. 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 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. Y Signed INSPECTOR j 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. • r' =. �f BY AUTHORITY • 1 ./�. 5 7 OWNER'S NAME JOB LOCATION (ST. OR AVE.) 790 , • » T. BUILDING PERMIT NO. REPAIRS ALTERATION ADD GENERAL CONTRACTOR 72. 7 ( ZONE 40 REQUIREMENTS NEW CONSTRUCTION TYPE CorS S SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. �d DATE CU. FT. f ca - p-d.002 APPROVED REJECTED it- IV,j -Y ISSUED 6.e T 5 /f0 f PRESENT ADDRESS PERMIT FEE $ BLOCIS /V i 8 ADDRESS 0 PHONE NO. PLAN CUBE 66, 4S CU. FT. DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY C. 4. /71/ -/� /�. STORIES ROOF CONSTRUCTION :J,9 REFERRED TO COUNCIL s-e- 41p7 4d.s BY DESCRIPTION vaa /1B& DESCRIPTION REMARKS �j ✓��SS - w >- S 7/f e2 TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE LICENSE NO. SUBDIVISION PHONE NO. LICENSE NO. ,r BUILDER'S BOND NO. 2 Z Ef-V DATE EST. COST $ 3 zsi DAT= INTERIOR CONSTRUCTION t / 1 A. REASONS INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION $ SEPTIC TAN KNc,t -TH ROOF S '1 IC- - el 7 � S - Z, f $ d '-- BEAMS & LINTELS $ I POOL Mil $ FRAMING $ GAS AIR COND. FINAL Codc , tciij o CLEAN UP i 121 i SEPTIC TANK •" 2- SLAB W4,5 , 7- 7 - Is -(1 � I S SLAB SPECIALS PERMITS DATE PERMIT NO. I DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TAN KNc,t -TH DA-9 S '1 IC- - el 7 � S - Z, f $ d '-- SEWER $ I $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER "o ""3 -d I $ Codc , tciij o G 7 _ - R INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING $ TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. SEWER "o ""3 -d u S E.d 't Codc , tciij o G 7 _ - SEPTIC TANK •" 2- .. 4= 5 J, W4,5 , 7- 7 - Is -(1 � I S SOLAR HEATER FIXTURES GAS CONTRACTOR IJog6 4 l ( `) . PHONE PERMIT NO. J Z.7 ?- 1 DATE 4 5"° o FEE $ *I NEW BLDG. X 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. $ MOTORS $ FIXTURES $ � I S INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT' BY TEMP. SERVICE J ROUGHING H. W. HEATER CONN RANGE CONN. � I / FIXTURES & FINAL t Do x s PERMIT NO. NEW BLDG. L-Q BUILDING INSPECTIONS zf_ ' 24 , 2 -- 7 PLUMBING PERMITS & INSPECTIONS CONTRACTOR JON es ?Cid 01/.J CT PHONE 7 21-7 3 I DATE S 29- FEE 9/ a 1 ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE 1 ADDITION ELECTRICAL PERMITS & INSPECTIONS REPAIRS BY ..ev. 04/3/03) OCCUPATIONAL LICENSE CO SAFETY INSPECTION ®C APPLICATION Business Owners Name Business Name Address BUSINESS OWNER Building Officials Approval: Miami Shores Village Building Department j/941 iL i4 ABOVE.% Building Owner's Name .P /U /Lb /yl/14 JI/tJs Owner's Address 790 9/ ,li - City NM" .S//O45r State f2 Signature Sign: Print: My Commission Expires: Permit No. Loc ID The foregoing instrument was acknowledged before me this day of 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Phone # 9g /3 7 Zip Phone # Suite City Miami Shores State Florida Zip OWNER'S 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. by , who is personally known to me or who has . produced as identification and who did take an oath. NOTARY PUBLIC: , 20