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585 NE 93 St (7)Permit No Registered Architect and /or Engineer Employing E ctrici 6 's Name �Z !7 / L i 9 i /ejo — y ocation an Legal Descriptiol{ Lot �� ,2„ ..>'� STATE OF FLORIDA, COUNTY OF DADE. I es. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Q C, Date .... l./! � si 1 9 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu;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 --/ERR Y /►lQ 21 ..... . E./ID No 5 8 A/ Street /WC - No. /7ZVO Block . (Signed) Street S/ Pe,AcE ‘ / 13 ST, 0T Subdivision 7 Street 933 S ,te r Street and Number where work is to be performed —No ,? C- State work to be performed and purpose of building (By Floors) moo P 5€/et/iex C//4J/C' C (iT/(J6 4 New Building Remodeling x Addition Repairs No. of Stories Servi Ovenc�a _d Site Feeders Conduit Main Sw 2e � Amps Main Fuses ' ) rgrou Type of Installation—Conduit Tubing B.X.L _Metal Moulding Cx�1t (4 m Cat /Tim #ER000S686 Amps Amount of Permit $ � •- 1.•t:/u (Signed) RPO 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. Master 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, bcing 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. 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T's FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP H 41 /)//J A / -- 41 TO/ k/ TOTAL CONTR. /� `OP, TAI CHECK (V c ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No Registered Architect and /or Engineer Employing E ctrici 6 's Name �Z !7 / L i 9 i /ejo — y ocation an Legal Descriptiol{ Lot �� ,2„ ..>'� STATE OF FLORIDA, COUNTY OF DADE. I es. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Q C, Date .... l./! � si 1 9 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu;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 --/ERR Y /►lQ 21 ..... . E./ID No 5 8 A/ Street /WC - No. /7ZVO Block . (Signed) Street S/ Pe,AcE ‘ / 13 ST, 0T Subdivision 7 Street 933 S ,te r Street and Number where work is to be performed —No ,? C- State work to be performed and purpose of building (By Floors) moo P 5€/et/iex C//4J/C' C (iT/(J6 4 New Building Remodeling x Addition Repairs No. of Stories Servi Ovenc�a _d Site Feeders Conduit Main Sw 2e � Amps Main Fuses ' ) rgrou Type of Installation—Conduit Tubing B.X.L _Metal Moulding Cx�1t (4 m Cat /Tim #ER000S686 Amps Amount of Permit $ � •- 1.•t:/u (Signed) RPO 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. Master 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, bcing 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. 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby umdc for the approval of the detailed statement or one plans and specifications herewith submitted for the build • in 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 Mintni 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. G�,/ Date..._..._..._ !._ �� ._�..._.__..._.... ,19.P_1_ Owner's Name and Address .....J r� No. -( E Street_..q _ r Registered Architect and /or Engineer 1,,,. .t ..............! ,.A.. Name and address of licensed contr,actor.... e. &(4F &!;/6 ... New Building To be constructed of Estimated Total cost STAiF, OF FLORIDA, COMITY OF DADE. Disapproved (Signed) ss. Date.._........: <� Remodeling Kind of foundation of improvements S..•.1.)5 1 Amount C ®.✓o . fOo -S (co 4kc, Location and lcgLi escription of lot to be bb ilt on: � c / Cowls G. 5 5 Block .- Subdivis . 9I /'lo C .,� �r ^ T: S Street and Number where work is to be done . a. � . 3 _ _ 1414-* / s �r4 State work to be dine and purpose of building (by floors) !✓S.r.!4<<�!.7 F q- G s PL / T a- s F. y 2 4-76: 6 4 ErgLczesk e, F, ,P. 9 a , •u, 7 W f rj- and for no other purpose. Addition Repairs No. of Stories Roof Covering of Permit $...19.A 6 Zone cubage required plan Cubage Distance .to next newest building Size of Building Lot 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.. -.. '''4 L /4-p2 a.✓4 / T/O The undersigned applicant for this building perinit 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 Su r leu►ent, 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; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such strltntractors, on wop to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed).. cfore me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments, personally ap- peared 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..—.7‘/5 Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Member Member Member ...._ ................ -- to me well known, Citair ;nan 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 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection oe faulty materials anti /or workmanship. Date 02 Legal Description WORK DESCRIPTION: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 gs Job Address Tax Folio Owner /Lessee/Tenet s T Owner's Address Contracting Co. Qualifier obey- �. ►trys State # C A C (-1C1 y Municipal # SS# Competency # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING Historically Designated: Yes No ✓ Master Permit # t CP O Oc.:9 ' aC� Phone 7SI' C \S76 Address 0 1 'JoX CA L6 M;gvvi.' Ft :n 6d• Phone OS 68S. 9Y Ins. Co. Hg r y T o r C r MECHANICAL ROOFING �-� o a Square Ft. Estimated Cost (value) 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 fore :oing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I . uthorize the above named contractor to do the work stated. owner and/or Condo President 9-3-6 N' Date Nota as to • wner d/or Condo President My •mmi ion Expires ,,,.';-,, Joy a' ,. �• M YCOMMISSIO #CCBI:' EXPIRES g•,.�-� Febru• • 003 l o f '* ' BONDEDT- RUTROYFAININSURANCE,INC FEES: PERMIT 10 ' 62 e RADON APPROVED: Zoning Mechanical Signature of Co My Commis NOTARY tor or 0 Date Notary as to on ,ar,gr Building Electrical r Builder 9 Date 0 EXPIRE 3 CE,I. r Owner Builder Joyce Kranz MY COMMISSION # CC808 February 14, 2 BONDED THRU TROY FAIN INS Date BOND TOTAL DUE Plumbing Structural Engineer ITEM BATH TUB UNIT FEE r • ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AT DUCT WORK FLOOR DRAIN SERVICE REPAIR/VETEI CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNGERGROUPD TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 f STEAM BOILERS SHOWER MOTORS OVER 1- 3 f HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 f MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 f TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 f ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 f FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 f COOLING TOWERS WATER CLOSET MOTORS OVER 100 f A/C WINDOW VIOLATION REINSPECTION INDIRECT WASTES WATER SUPPLY TO: AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORM -;RS GENERATORS TRANSFORMS 1 I HEATER -NEW INST. HEATER - REPLACE GENERATORS TRANSFORI•RS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL SIGN TUBES - WATER SERVICE ;EWER CONNECTIONS SIGN TRANSFORMERS IT I L I TY -SEWER SIGN TIME CLOCK ITILITY -WATER FIXRRES , :EPTIC TAN( ANTENNA ELAY TELEVISION OUTLETS RAINFIELD, 4' TILE/RES. VIOLATION UM) & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ,Q ATCH BASIN [SOURCE WELL 3 r ` OMESTIC WELL ,- REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE ' 301 PIPING AWN SPRINKLER SYSTEM . AS RANGE :TER SET (GAS) LS PIPING ADDENDUM TO BUILDI (AN APPLICATION FOR BUILDING PERMIT MUST ACC OBTAINED, THE OWNER'S NOTARIZED SIGNATURE 1 PLUMBING ELEC NG PERMIT APPLICATION MPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. ED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) RICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2002 -287 Printed: 9/4/2002 Applicant: JERRY MOORHEAD Owner: MOORHEAD JERRY JOB ADDRESS: 585 NE 93 ST L Contractor C Local Phone: Parcel # 1132060141030 Electrical Permit Contractor's Address: Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 22 & E1/2 LOT 21 BLK 56 LOT SIZE 75.000 P cil\tz ' A . — C .. C 0 Total Fees: $0.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 3/3/2003 Construction Value: Work: RECONNECT EXACT REPLACEMENT OF 3 T9N CONDENSER If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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: Signed: ••''i ∎,CEG NSPECTOR) BY: $50.00 Page 1 of 1 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 responisibility for all work done by either mysdlf, my ag; • , serva s or employes. {Contractor or Builder) BY: Pay to the order of JERRY S. MOOREHEAD 08-97 585 N.E. 93RD STREET MIAMI SHORES, FL 33138 ankof America. 01441 74, Date — 3 - 2--- 63-27/63) FL 988 ACH Fla 063100277 For ( t4.4 1:06 31.00 2771: 00343568098 20 0736 Dollars 736 $ /56,. c27 •■• dials et Od.4 AP q PERMIT APPPLICATION FOR MIAMI SHORES VILLAGE Date I J.0a Job Address S N � S r Tax Folio Legal Description Owner/Lessee / Tenant Owner's Address s &S N 9 3 S r Contracting Co. C± I r C1 _ C d. Qualifier !`) r Z. C t r S y ss# State# G f} C ©2 6c( 1 Municipal # Competency # Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN WORK DESCRIPTION o a Square Ft. Estimated Cost (value) / S g g . 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 the work sated. No My C and/or Condo President rres: G/ FEES: PERMIT 13 RADON APPROVED: Zoning Mechanical Building Plumbing ate ate C.C.F. 02 Address Notary .. on tor or Owner -B . elder Joyce Kranz My Co Sion pires: OMMISSION # CC808950 EXPIRES February 14, 2003 BONDED THRU TROY FAIN INSURANCE, INC Historically Designated: Yes I . No / Master Permit # I - l h'O'D , l a L-e Phone � as - 7 s ( - Address b o K k (T } a vn , f' 1- t Phone -3 O ekC6 -1 9 c( Ins. Co. Ha MECHANICA ROOFING PAVING FENCE SIGN Electrical BOND TOTAL DUE 9 3 0 2, Date Date Joyce Kranz COMMISSION # CC808950 EXPIRES February 14, 2003 BONOEDIHRU TROY FJN INSURANCE. INC Structural Engineer ITEM BATH TUB UNIT FEE / ITEM ' • SWITCH OUTLETS UNIT .FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT CURETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOCK DRAIN SERVICE REPAIR/6€TER 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 FP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP _ MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS _ = , '� /Zf A/C UNIT STRIP HEATER GENERATORS TRANSFORMERS cif I FIRE SPR I N XI.ER HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER-REPLACE GENERATORS TRANSFORMERS I LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIUHND POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS - SIGN TRANSFORMERS . ITILITY -SEWER SIGN TIME CLOCK 1TILITY -WATER FIXTLRES :EPTIC TANK ANTENNA FLAY TELEVISION OUTLETS RAINFIELD, 4" TILE/RES. VIOLATION UMP & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT CU. FT. ATCH BASIN ISCHARGE WELL OMESTIC WELL REA DRAIN OOF INLET OLAR WATER NEATER IRE STANDPIPE ' ]OL PIPING AWN SPRINKLER SYSTEM .S RANGE :TER SET (GAS) AS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATOON FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL 3 V Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/6/2002 Applicant: JERRY MOORHEAD © Owner: MOORHEAD .. JERRY • JOB ADDRESS: 585. NE 93 ` ST • ., 3 Contractor C & R AIR CONDITIONING CO .. Contractor's Address: 2121 NW 139 ST #10 Local Phone: 305 - 685 -6394 Parcel # 1132060141030 • _s 0 C,(.7= I. Total Fees: Total Receipts: , $0.00 Permit Status: Approved Permit Expiration: Work: EXACT REPLAMENT OF 3 TON CONDENSING (. 1T Signed: • Mechanical Permit Permit Number: ME2002 -126 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 22 & E1/2 LOT 21 BLK 56 LOT SIZE 75.000 3/5/2003 Construction Value: $1,585.00 Page 1 of 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. (INSPECTOR) BY: 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. 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 responisibility for all work done by either myself, my ag - ervants or employes. (Contractor or Builder) BY: JERRY S. MOOREHEAD 08-97 585 N.I. 9381) STREET MIAMI SI IOUS, 11. 3 order of P7-: to te '7 7 Pl• , t /, 4 t'N I, i C et-- .. ..a, . ...../.; r „.c...„-,. , s- IlikutAilitirica. , :- ' ACH R/T 083100277 *4.' - 10 3 LOO 2 ? ?I: 0 0 3 4 3 S68 0 98210 0? 3'6 Dole 9 3- 736 63-27/031 11. • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request DatiA 1 - 7 1 ('� 'd�Time C , n Type Insp'n Permit No. m Address WS t O13 Qom Compan !" 1 Phone # 3 oS _ b 3' /j 3 9 For Inspecto ( ( /0 k Name & Date Approved )2r- Q 6, 0 Correction ❑ Re- Insp'n Fee. ❑