485 NE 92 St (5)BUILDING
ELECTRICAL ❑
PLUMBING ❑
GOOFING ❑
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Owner of
Building ''t
.,ontractor
Dr Builder
,.1 l
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 5912
trchi test
ega1 Lot
Description Bl
Address of
wilding
Work to be performed under this Permit
DATE ' / 195
Contractor's /
License No.
Subdi-
vision
Value of 'I Amount of
Project $ / / / 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
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
_ime 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
;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
,ertaining to the work covered hereby whether shown on the plans or drawings cr in t}}e statements or specifications and t#u m-as umes responsibility for work
lone by his agents, servants or employees.
/
Signed. f -------1 ,--7----
INSPECTOR
/
In consideration of the issuance to me of this permit I agree to perform the work covered hbreunder in compliance with all ordinances and regulations
-, ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
repting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
7
t
CONTRACTOR OR BUILDER BY
1 AUTHORITY
6
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 1-1-99 Job Address i lliTAL E 92 S 7,
Legal Description L T. 2 3 Ben 52cTra 2.- Historically Designated: Yes No
&k' / O.'; /
O w n e r / L e s s e e / T e n a n t 1 : 2 p a r M Ell T of VE r EX , u S k FrAliks Master Permit #
Owner's Address Le '1 41 MALI
Tax Folio 1 ° 326 -p /V -02
Phone 3 S' Ill/ 3 6
Contracting Co. A c‘-e
I p V re � M ; A c ' f ( Address 6" a t ) /t1 ( ) 2 - 4 - t —
/ 7 if -(n)
Phone 3 S — (o 5
ommission Expires:
Electrical
Estimated Cost (value) � )
f
.<<7/3 11
BOND
Ins. Co.
•
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROI ��F4�s FENCE SIGN
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.
0
Si a : cure of Contractor or Owp>1r -Builder Da
as to Contractor or Owner -Buij /fAt
p,RY pt,_ KUA SEAL
EMI NUMMlR
J •, < CC76S2$5
�CF OP MY C N x 200
9 0
�/
TOTAL DUE 7'
Plumbing Structural Engineer