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32 NE 92 St (3)MIAMI SHORES VILLAGE BUILDING DEPARTMENT Date Bui Inspection Request \J Type Insp'n 1 ro I u U J d tr Permit No. ! es-2 • Name 7)mflQ2 Addresses 2 34- Company OCU L Phone # - 154 r - - c41 -4 11 Inspection Date 4 III Approved Correction ❑ Re- Insp'n Fee ❑ 305- 795 -2204 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address X 31 ///E City Al /Ii / j j'Q RE'S State Tenant/Lessee Name Job Address (where the work is being done) jg. / P .5' 7 City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address M) 5 M7✓l. ,� � ( c--/ Cit /7 , 11/1 M / State = %i l4- Qualifier g1 7 ,, 9 State Certificate or Registration No. L'6 ,12 On 2939 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit t r Type of Work: EAddition EAlteration Describe Work: !c_' 1/ I IA M/ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ [75-00 CCF $ ' 00 • CO /CC Notary $ `7 ' C Training /Education Fee $ Q Technology Fee $ 0 . 3 Scanning $ 3' vU Radon $ Zoning Bond $ . 5(.i 6 Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ -1 13- 4 I© (0) (Continued on opposite side) Miami Shores Village Building Department Electrical E v G4 ,p L lumbingg Mechanical Roofing //tt /IZ one # :3 16 % - 73 .73 County Miami -Dade Zip NO Phone # Certificate of Competency No. Square Footage Of Work: ['New Repair /Replace ❑ Demolition f MAR 1 7 PAID Permit No. Pio15-5 Master Permit No. Zip 3 , / 3 Zip 33/4'7 Phone #,309) . 57S 277 q Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatu Owner or Agent The foreg g ins ment was acknowledg d before me this I day of �` T ',20_,by who is perso NOTA Sign: Print: LC OrThe foregoing instrument was acknowledged before me this ; tC.3 it day of , 20 _ , by Y produced P Y produced known to me or who has roduced who is ersonall known to me or who has roduced ication and who did take an oath. * * * * * * * * * ** My Commission Expires * * * * * * * * * * * * * * * * * ** chc 05/13/03 As identification and who did take an oath. ��tnrayaGa . **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: tJ j s .84 n tt antr- "ndrd Thal 2007 t i Signatu i // .1R.z�,� Contractor EXPIRES: Jun :1 • O6 doodad Thru Notary Putt. r- ;writers NOTARY PUBLIC: Sign: Print: My Commission Expires Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT CURETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - ' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) _ GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINF, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Permit No._ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT I PL CATION 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. Owner's Name and Address J . K_ _B a i 1 ey _ No._— _______.___ 32 Street. N.E. 9 2 St. Registered Architect and /or Engineer Employing Plumber's Name Tropigas Inc . No. 2540 Street_ N_W 29 Ave. Location and Legal Description Lot_ Blork 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 No. of Stories... _ _..... . Size Septic Tank _ - -- ---------- -- - -- --- -Type of Tank Feet of Drain Tile______ ______________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._____ _ __________________Size of Soakage Pit II © -‘7. —_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed) _ Date._ -_ r ? - ( 7 Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida 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. Notary Public, State of Florida 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 notics for hasp •', or faulty material's and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS U CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS Conn.. space heater TOTAL FIXTURES C CHECK 1 00 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL coma. LIST - -- CHECK Permit No._ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT I PL CATION 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. Owner's Name and Address J . K_ _B a i 1 ey _ No._— _______.___ 32 Street. N.E. 9 2 St. Registered Architect and /or Engineer Employing Plumber's Name Tropigas Inc . No. 2540 Street_ N_W 29 Ave. Location and Legal Description Lot_ Blork 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 No. of Stories... _ _..... . Size Septic Tank _ - -- ---------- -- - -- --- -Type of Tank Feet of Drain Tile______ ______________Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well._____ _ __________________Size of Soakage Pit II © -‘7. —_ Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires (Signed) _ Date._ -_ r ? - ( 7 Capacity Gals Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida 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. Notary Public, State of Florida 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 notics for hasp •', or faulty material's and /or workmanship. Permit No Size Septic Tank__ Feet of Drain Tile__ Amount of Permit $_ State work to be performed and purpose of building (By Floors) _ New Building - - - - -_ - -- Remodeling------------- _____ —__ Addition Nature of Water Supply: City— Well._______________ _______ _______________ _________Size of Soakage Pit STATE OF FLORIDA, as. COUNTY OF DADE. J ®� _Type of Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL ©m TI N 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. Owner's Name and Address Dr _J.K. _Bailees_ -- _ 32 N E 92 St. __ ..__._._._ No Street ..__. Registered Architect and /or Engineer _____ --- ---------- - - - -___ ---- _-- - - - --_ --- _----- -•----- -- _ -__ -_ Employing Plumber's Name Tropigas_ Inc. N ___ ___2540 st t__—N_W. 29 Ave. Location and Legal Description Lot. Block Subdivision_ _______ Street and Number where work is to be performed —No 32 Street N.E. 9 2 St. __Dist. Feet of Tank or Drain Field from Well ( Signed)._ 1 Date__ 2 - ^7 __.__1___ Repairs No. of Stories . . . .... .. ...... . (Signed) - - -- • - Capacity Gals. 48716 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane upplement, and has com- plier 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. My Commission Expires Notary Public, State of Florida Master Plumber. 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 insp +s, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY S Tints T URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS Space h heatex eater 1.00 FIXTURES CONTR. 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 Size Septic Tank__ Feet of Drain Tile__ Amount of Permit $_ State work to be performed and purpose of building (By Floors) _ New Building - - - - -_ - -- Remodeling------------- _____ —__ Addition Nature of Water Supply: City— Well._______________ _______ _______________ _________Size of Soakage Pit STATE OF FLORIDA, as. COUNTY OF DADE. J ®� _Type of Tank MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPL ©m TI N 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. Owner's Name and Address Dr _J.K. _Bailees_ -- _ 32 N E 92 St. __ ..__._._._ No Street ..__. Registered Architect and /or Engineer _____ --- ---------- - - - -___ ---- _-- - - - --_ --- _----- -•----- -- _ -__ -_ Employing Plumber's Name Tropigas_ Inc. N ___ ___2540 st t__—N_W. 29 Ave. Location and Legal Description Lot. Block Subdivision_ _______ Street and Number where work is to be performed —No 32 Street N.E. 9 2 St. __Dist. Feet of Tank or Drain Field from Well ( Signed)._ 1 Date__ 2 - ^7 __.__1___ Repairs No. of Stories . . . .... .. ...... . (Signed) - - -- • - Capacity Gals. 48716 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane upplement, and has com- plier 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. My Commission Expires Notary Public, State of Florida Master Plumber. 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 insp +s, or faulty materials and /or workmanship. Permit No.__ 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrfiitted 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. ss. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be -r State work to be performed and purpose of building (By Floors) No 7_631 Street ____ I c Block_ _.�_�i_.�_.�G_f � Subdivision.��.�. +,_� _,.t1 tiCie r' is:, performed —No ,3___ e 1 _ Street _,2., __ New Building � Remodeling Addition Size Septic Tank Z4-C Type of Tank - 'Le__ Cap• city Gals. Feet of Drain Tile t Nature of Water Supply: City —Well. g t APPLICATION FOR PLUMBING PERMIT 44 1 l y__ - CORD Fi- -c_- No . ,..1 _ Z. Street L ( 12. ,set- e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Dist. eet of Tank or Drain Field from Well + Size of Soaka a Pi Repairs Date_ My Commission Expires Notary Public, State of Florida No. of Stories j Amount of Permit $ ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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. r (Signed) ri1� l j!! - r7 Mastpl Plumber. 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 , erials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES 'C L IST LIST 7 _ ) '—T /— -- CHECK /i/ SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST / 4 / X f . I'� CHECK Permit No.__ 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrfiitted 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. ss. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot Street and Number where work is to be -r State work to be performed and purpose of building (By Floors) No 7_631 Street ____ I c Block_ _.�_�i_.�_.�G_f � Subdivision.��.�. +,_� _,.t1 tiCie r' is:, performed —No ,3___ e 1 _ Street _,2., __ New Building � Remodeling Addition Size Septic Tank Z4-C Type of Tank - 'Le__ Cap• city Gals. Feet of Drain Tile t Nature of Water Supply: City —Well. g t APPLICATION FOR PLUMBING PERMIT 44 1 l y__ - CORD Fi- -c_- No . ,..1 _ Z. Street L ( 12. ,set- e MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Dist. eet of Tank or Drain Field from Well + Size of Soaka a Pi Repairs Date_ My Commission Expires Notary Public, State of Florida No. of Stories j Amount of Permit $ ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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. r (Signed) ri1� l j!! - r7 Mastpl Plumber. 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 , erials and /or workmanship. .VILDING ELECTRICAL PLUMBINGT Owner of A � t 1 Building *' Architect Contractor or Builder Legal Description In consideration of pertaining thereto and in In accepting this permit I Lot i t, OR BUILbER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4343 Work to be performed under this Permit aC AjA Bl. t Lt DATE Contractor's License No. J 194 Subdi- vision Address of Value of Amt. of -/ `/' Building r G' r ,. Project Permit j "" '3 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in e+ appli- cation 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 07 statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. _„►+ ) Signed. � 4.4 ,:,`R B /r`'-� _�`.� , INSPECTOR 7 the issuance to me of this permit I agree to perform the work covered hereunder in compliance with.,ai1fordinances anc§retedgions strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. assume re s ility for work done by either myself, my agent, servant or employee. BY : ?� AUTHORITY ;UILDING LECTRICAL 'LUMBING )wner of a. , ; uilding ,rchitect e ,otONTRACTOIR 9 LDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 4343 1&Lk&✓ Work to be performed under this Permit Bl. Subdi- vision Value of Project DATE 194a Contractor's License No : ontractor r Builder .egal Lot Description •ddress of . uilding r This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in p'- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Tans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revok t 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 •ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances a= cgulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes refr ibility 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 r ertaining thereto and in strict conformity with the� drawings, statements or specifications submitted to the proper authorities of Miami Shr n accepting this permit I assume res lity fora work one by either myself, my agent, servant or employee. • Amt. of Permit BY AUTHO'