1275 NE 93 St (3)PEYtMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date f Job Address / ,273 , /C/ 3 S Tax Folio
Legal Description �y Historically Designated: Yes /� v No
Owner /Lessee/Tenet g,� • - Jv h sue/ / ��G Master Permit # 0a ' JC C.
Phone
Owner's Address //Z 75 /V C` 93 s
Contracting Co. 6 GL i
Cam/ ir`Z ye G'
Qualifier
State # CO2.5 /2
Municipal #
Permit Type (circle one): BUILDING
WORK DESCRIPTION: ‘N/---J �---° 6- Z/
/te-� •sDe -� i
Sign of owner and/or Condo President Date
Notary as to Owner and/or Condo President
My Commission Expires
•
FEES: PERMIT 6
V (e RADON C.0
APPROVED:
SS# Phone
Competency #
PLUMBING
Square Ft. Estimated Cost (value)
_ c`a 2Z -Sy
Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTIO
ROOFING
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 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 all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated.
gnature of Contractor or Owner
-
/ — Q ?—
Date
0
'o actor or Owner deF� -y Date
Date Notary as to
My Commissi. xpir s ��pr v� B GEORGE oN#cC733297
S
MY COMMISSION # 733
Z340 BXPIRFS : / 122002
�OF Y Fla Natal) Serv i
1.800.3- 800
NOTARY `' BOND
TOTAL DUE
0
Zoning Building Electrical.,"
Mechanical Plumbing Structural Engineer
T l 8
UNIT
FEE
l UNIT
SKITC4 OUTLETS
FEE
ITEM •
SPACE I ATUIS ' -
UNIT
FEE
i L I G -f T OUTLETS
CENTRAL FEAT I?G
GSriR
1 RECEPTACLES
A/C (WINO) '
SAL
SERVICE TBf'CRARY
A/C (CENTRAL)
:IHG FOUNTAIN
SERVICE SIZE IN OS
OUCT WORK
1 GRAIN
SERVICE REPAIR/0B CHANI
REFRIGERATION
3E TRAP
APPLIANCE OUTLETS
PROCESS »O PRESS PIPING
10EPTCR
I SAME TCP
UNDERGROUND TANKS
rcRY
OVEN
ABOVE GROUND TANKS
CRY TRAY
WATER FfEATER
U.F. PRESSLRE VESSELS
ES WASHER
ROTORS 0- 1 FP
STEAM BOILERS •
.R
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
. POT /3 Cam.
i MOTORS OVER 3- -5 FP
MECHANICAL VENTILATION -
.. RESIDENCE
I MOTORS OVER 5- 8 FP
TRANSPORTING ASSEWLIES
.. SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATCRS
CRAY 'HATER CLOSET
)IOTCRS OVER 10- 25 if
FIRE SrRIIIKLER SYSTEhS
L.
WTCRS OVER 25-100 FP
COOLING TOWSERS
:R CLOSET
MOTORS OVER 100 FP
VIOLATION
IRECT WASTES
A/C WINDOW
REIFSPECTION
_R SLFPLY TO:
1
AIR CONDITIONERS
I STRIP NEATER
2
/C UNIT
IRE SPRINKLER
i GENERATORS TRAtSFCRVFAS
_ATER -NEW INST.
I GENERATORS TRAMFCR.VE.RS
11
EATER-REPLACE
GENERATCAS TRARSFCA4ERS
:,n'{ SPRINKLER-YELL
, SPECIAL PURPOSE
RIMMING POOL
CUTLETS CCIX ERC I AL
1 i
ATER SERVICE
SIGN TUBES
ER CONNECTIONS
SIGN TRA'SF .4ERS
_ I TY -SE' EH'R
SIGN TIME CLOCK
:.ITY -WATER
FIXTURES
TIC TANK
ANTENNA
-
_
AY
TELEVISION OUTLETS
INFIELD. 4' TILE/RES.
1VIOLATIOH
? & ABANDON SEPTIC TANK(
'RE I NS ECT I0N
:CAGE PIT CU. FT.
C-I 8ASIN
CMARGE WELL
I
__
7 ESTIC WELL
1
'A CRAIN
I
:F INLET
1
AR HATER HEATER
I
-
1E STANDPIPE
1 PIPING
I . ..
,N SPRIFILER SYSTEM
•
3 RANGE
I
iER SET (GAS)
3 PIPING
APPLICATION FOR 3UILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS 3.
'AIMED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
•
ELECTRICAL
MECHANICAL
il thkti e
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4 /8/2002
Applicant: JOHN
Owner: LIANG
JOB ADDRESS: 1275 NE 93
Contractor COOLING METHODS
Local Phone: 305 -622 -9434
Parcel # 1132050270110
If there is no permit package accessible
fee is $50.00, which must be paid in advan
This Permit is granted to the contractor or builder named
pertaining thereto and with the understanding that the work
proper municipal authorities. This Permit may be revoked at
which this permit is granted is the understanding that the co
covered hereby whether shown on the plans or drawings or i
Signed:
In consideration of the issuance to me of this permit, I agr
plans, drawings, statements or specifications submitted to t
servants or employes.
FOR
Electrical Permit
Permit Number: EL2002 -122
LIANG
JOHN
ST
Contractor's Address:
Legal Description: 5 53 42 BAY LURE
Fees:
FEE2002 -1995
Description
Building Permit Application Fee
Total Fees:
Amount
$60.00
$60.00
Total Fees: $60.00
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 10/5/2002 Construction Value: $1,000.00
Work: DISCONNECT 2 OLD A/C RECONNECT
COOLING METHODS, INC.
17060 NW COURT —
MIAMI, FL 33055 -3918
PAY ✓j�
TO THE ORDER OF ,� / / ' � Gt e.Tv
mac = 277.. .5 x
WACHOVIA BANK, N.A.
MIAMI, FL 33137
000 L 2261• I:0670
PB 44-63 LOT 10
4 34
Page 1 of 1
BLK 1 LOT SIZE 75.000 X
----- - - - - -- - ------- 1 -226—
DATE
-/S b 26•13561870
1$ /36
DOLLARS t_.J
}
SOCyrily
D. en
b .
NI IAM I SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu:ida,
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 / "I /171e-5 - 4,4/Aj 71//9)/0 No /,.77 Street
Registered Architect and /or Engineer i ,r /P6F € (.1
Employing Electricia6's Name .... " e
No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
I
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit 1 Tubing B.X.L .Metal Moulding
Amount of Permit $
s
Date
(Signed)..P\ C•bl l O0
Electrical Inspector.
The undersigned. applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof,; and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; ind 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.
(Signe
STATE OF FLORIDA,
COUNTY OF DADE. ea.
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 I first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Sr
4 % zxd
Master Electrician.
My Commission Ezpi es 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.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T I
FIXTURES
NO. LAMPS
REPAID.
OUTLET
IRON
OUTLET
RANG[
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
g
-
/ ,
Iii:
h/
-
CHECK
i9
ENT.
SW.
DIET.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
//JJ /J
�f7
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
1
1
/
/
CHECK
3 1
%-/ c
. ..
NI IAM I SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building of other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu:ida,
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 / "I /171e-5 - 4,4/Aj 71//9)/0 No /,.77 Street
Registered Architect and /or Engineer i ,r /P6F € (.1
Employing Electricia6's Name .... " e
No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
I
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit 1 Tubing B.X.L .Metal Moulding
Amount of Permit $
s
Date
(Signed)..P\ C•bl l O0
Electrical Inspector.
The undersigned. applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof,; and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be performed under this permit; ind 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.
(Signe
STATE OF FLORIDA,
COUNTY OF DADE. ea.
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 I first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Sr
4 % zxd
Master Electrician.
My Commission Ezpi es Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
2 - / / 77
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 plane and specifications must be kept at
building during progress of work. ,� W..!V / ./... 2. /t/�
Owner's Name and Address.9l 2 / �.c....../,l ' No....� Street *6 ?3 s !.......—
I
Registered Architect and /or Engineer 1-;0/404-:
Employing Electrician's Name 04W v J No Street
Block Subdivision
Service Overhead
Underground
Amount of Permit $
![
ize Feeders
sov
ea.
Location and Legal Description Lot /� �- - q r T
Street and Number where work is to be performed —No . /2 75 4'' r ' t ' / 3_5- / -Street
State work to be performed and purpose if building (By Floors) f[/4 / 2.00 • 44/f/a... • Q 1/ C
New Building Remodeling Addition Repairs No. of Stories
Conduit Main Sw 2D6' Amps Main Fuses Amps
Type of Installation -- Conduit. ( Tubing B.X.L .Metal Moulding
(Signed)
(Signed)
Electrical 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 ' orida .• :! lement, and
has complied with the provisions thereof, and will require similar compliance from all contra • s or s t o h'•. in the
work to be performed under this permit; land will post or cause to be posted for inspection site w•rk su• o• r notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, o e armed , `•I it, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OP DADE. I
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, and 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
My Commission Expires
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.
SWITCH
0
LIGHT
OUTLETS
PLUG
RECE'P•T•S
FIXTURES
NO 'LAMPS
RE ►RIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
•
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
I
1
. ..
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date
2 - / / 77
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 plane and specifications must be kept at
building during progress of work. ,� W..!V / ./... 2. /t/�
Owner's Name and Address.9l 2 / �.c....../,l ' No....� Street *6 ?3 s !.......—
I
Registered Architect and /or Engineer 1-;0/404-:
Employing Electrician's Name 04W v J No Street
Block Subdivision
Service Overhead
Underground
Amount of Permit $
![
ize Feeders
sov
ea.
Location and Legal Description Lot /� �- - q r T
Street and Number where work is to be performed —No . /2 75 4'' r ' t ' / 3_5- / -Street
State work to be performed and purpose if building (By Floors) f[/4 / 2.00 • 44/f/a... • Q 1/ C
New Building Remodeling Addition Repairs No. of Stories
Conduit Main Sw 2D6' Amps Main Fuses Amps
Type of Installation -- Conduit. ( Tubing B.X.L .Metal Moulding
(Signed)
(Signed)
Electrical 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 ' orida .• :! lement, and
has complied with the provisions thereof, and will require similar compliance from all contra • s or s t o h'•. in the
work to be performed under this permit; land will post or cause to be posted for inspection site w•rk su• o• r notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, o e armed , `•I it, as are
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OP DADE. I
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, and 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
My Commission Expires
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.
Amount of Permit $ /2a
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�J
Permit No I Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application) is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied I with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. I a / /� { O `�J `J � � . No. ' ,<...J
Owner's Name and Address Street
Architect and /or Engin��r ' y
Employing Electrician's Name.`5. f! if 4 � W " No / / / P l ....(�- Street... f' —11' /�
- AD O
Location and Legal Description Lot Block Subdivision...17��d
Street and Number where work is to be performed —No / A / S
State work to be performed and purpose of building (By Floors)
New Building ) Remodeling Addition Repairs No. of Stories 1
Street 9
Service Over Size Feeders Conduit / Main Sw l 4!"t ✓,Amps Main Fuses /0 . 2 Amps
Type of Installation — Conduit �- Tubing .X. etal Moulding
�J.
. :
9- 02f —�s J
(Signed)
Electrical 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 Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, i
COUNTY OF DADE. j ss'
(Signed)
Muter Electrician.
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
y Commission Expires Notary Public, State of Florida
NOTE: A 'inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and r workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO. LAMPS
REPRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
L187
` /
` /wA
_/ 2. f� /
Z 1
c2
/ e ,�
0 Q �y
l
ate...
—
•••••••
I
///���
f
1
[Y.�
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
M
1.5 HP
NEON
TRANB.
RADIO
TOTAL
LIST
/
/
/eV
. /1
/ �
CHECK
/ .r/71
- ---- -FFFF
(
Amount of Permit $ /2a
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
�J
Permit No I Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application) is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied I with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. I a / /� { O `�J `J � � . No. ' ,<...J
Owner's Name and Address Street
Architect and /or Engin��r ' y
Employing Electrician's Name.`5. f! if 4 � W " No / / / P l ....(�- Street... f' —11' /�
- AD O
Location and Legal Description Lot Block Subdivision...17��d
Street and Number where work is to be performed —No / A / S
State work to be performed and purpose of building (By Floors)
New Building ) Remodeling Addition Repairs No. of Stories 1
Street 9
Service Over Size Feeders Conduit / Main Sw l 4!"t ✓,Amps Main Fuses /0 . 2 Amps
Type of Installation — Conduit �- Tubing .X. etal Moulding
�J.
. :
9- 02f —�s J
(Signed)
Electrical 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 Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, i
COUNTY OF DADE. j ss'
(Signed)
Muter Electrician.
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
y Commission Expires Notary Public, State of Florida
NOTE: A 'inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and r workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA I/
ID
DATE 195
❑ PERMIT N° 2434 Contractor s
License No.
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
B1
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY
Subdi-
vision
Value of II Amount of
Project $ I Permit $
•
AUTHORITY sit