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78 NE 93 St (6)CONTRACTOR or Q 305 y I `( 0 0 - 6000 MI ; Name e S ►. cA) / Name r r 7 o t_ License No. �` O ` .9 Repair Address 1 •ffsbo IJ.f" is i st, 1 e 1c,. 331b/- Telephone Fax Relocation of Structure Qualifier Name r\ 6 Business Telephone PROPERTY OWNER Name P f [ per .t o � �• Lic se No. Ands Name r r 7 o t_ .30s Fax Repair Address --) I p „ 45. 5 °%"'.;. 5 Lib ft , 5 4-, 33 01 Home Telephone Relocation of Structure Shell Only Business Telephone Foundation Only Add'I Attachment Fax Other Add'l Detachment ENGINEER Name P f [ per .t o � �• Lic se No. Ands Telephone n 7 r O ” t� L� Q .30s Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the MiamijShores Village: Step 1. Step 2. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 906- ct 3 5) ) i4v", .S I..o.�. � ` 3 1 3 Address Apt. City State Zip Folio Number Description of Work tS t t Lot Block Z- Subdivision P o , .,t PB ILO PG *-7 6 Zoning Linear Feet Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Square Feet Value of Work ARCHITECT Name License No. Address Telephone Fax Master Permit No. .57 / tto Subsidiary Permit No. PL do 3 i9/ 9 PERMIT APPLICATION Units Floors Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AHIDAV - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the broc at Village all on Construction Lien Law and Choosing a Contractor. STATE OF FLOR Signature of Owner FrArtp(Mi P/iCr... Print Name Sworn to and subscribed before Signatu SEAL: State IAMI -DADE _II day of J JkV, r KENNETH SHERMAN Notary Public, State of Florida omm. exp, May 24, 2007 Comm. No. OD 182405 Personally known OR, Produced Identification rav PERMIT APPLICATION T, TE t* l ORI Ignature of Contra.' Qualifier A, COUNTY OF MIAMI -DADE Print Name Sworn to and susrcribed before e this day of W SignaturW ry ' - State of Florida SEAL: KENNETH SHERMAN Notary Public, tate of Florida M co p. 24, 2007 Personally known Omm 'idnfication Type of Identification Produced: Type of Identification Produced: ?emit No " Application is hereby made for the approval of the detailal atatemeat of the plans and specifications herewith subm tted for the building or other structure herein described. This application is made in compliance arid conformity with the Building; Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares Village and all rules and regulations of the Building Division of Miami Shores Village shall lea complied 1th, whether hwerin opezifiecl ea wt. A copy of approved plans and specifications must be kept at building during progress of work. Owned° Name mid Address W NEB E L Registered Architect and/es: Engineer EgaplearK Plumbw'c A .1 _PUbl Gac 1/ idf 7 4 g e- ption Lot_ -51 ..t. subamdconzg,9_hezz__zvos 642 Stmt and Nuinhar when work lc to ha perform 78 N.E. 93 S t . ed—No StIvztMiarrki_Sho rp s State work to be performed and purpoee of building (By Fisnro).&10_YI/E.114 _/9 na)-79/ • New ..... Remcdeling_—....--- Addition Repairs No. of Stories Size Septic Tank__ —Type of Taelc Feet of Drain Tile DJt. liczt of Tank c Drain Field from Well._ Nature of Water Supply: City—Well. Size Soakage Pit Amount of Permit 0 45 The undersigned applicant for this building permit doze hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has Cora- plied with the provisions thereof, and will require ahnilar compliance from all contractors or sub-matadors employed by him in the work to be performed under this permit; and will post or OM= to bo posted' for inspection 0311 the site of the wortr ouch public notice or notices as are required by the Act. The undersigned agrees to employ Only Mea Onb-controctose, to ha performed under this permit, as are limasftl by Miami Shares Maga. STATE OF FLORIDA, I COUNTY OF DADE. Page - 3 hy Commissioa Nergircs RECEIVED AND REVIEWED BY: Onfl.AGM ONOREZ VOg.En,©E PLUAGING ONSPECTION DEPARTMENT APPLOCia0CM FOL3 PLUMBOR90 PEEMOIT No 78 N E sarG2t....9 t (stgled)_ _i_A--Vidieta Plumbhig Inspector. Dnto. Nctary IPtab!tie, at Plumber. Before me, the undersigned authority, a Draw pob& el. y atatkulsed to admindeteg oaths and take achnow!vigmento, personally appeared to me well 'mown, and who, being by me first duly swami, apses cath diva:ass and sego that he is the of the above described construction, that ho ba a:m.0M1ii larl aka foregobeg app and that ha silo, the sages, and that fects therein by him stated are true. cf linouftie NOTE: A re-Inspection foo o tam va, F6--gt vkzo ra-Es u:IcNentArn sethrezoz=ogy h Lu3ns= Extleo Cog Enspertion, ee &ashy materials and/or weelmatebip. PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE QTY. TYPE QTY. "FlTE QTY. "1 QT1'. Minimum Fee A/C Central 1-3 Ton A/C Central 4-7 Ton A/C Central 8-15 Ton A/C Central 16-20 Ton A/C Central 20+ Ton A/C Window Air Conditioners Chiller Clear Violations Compactor Deep Freezer Demolition Dishwasher Dryer Fan Fire Pump Fixture - Fluorescent Fixture Light Flood Lights FPL - Load Central Garbage Disposal Generators, etc. Heat Recovery Low-volt, Burglar Low-volt, Fire Low-volt, Intercom/Teleph. Low-volt, Television Outlet, Appliance Outlet, Wall Outlet, Switch Oven Parking Lot Lights Plugmold/Strip Posts Range/Range Top Receptacles Refrigerator, Comm. (p(PH) Refrigerator, Domestic Renew - Temp Service Repair Circuits Service, Number of Amps Service Repair Service, Temporary Signs Space Heater (kw) Spas/Hot Tubs Subfeeds, No. of Amps Swim Pool, Commercial Swim Pool, Residential Switchboards Temp Serv., Construction Temp for Test - 30 days MECHANICAL TYPE Minimum Fee A/C Central; Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan-Vented, # QTY. 1.1 TYPE Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of ()Ty. TYPE Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel Q'FV. TypE 1.1 Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections QTY. PLUMBING TYPE QTY. TYPE QTY. TYPE QTY. TYPE (fry. A/C Condensate Bath Tub Bidet Cap - Fixture Cap - Water Cap - Sewer Catch Basin Clothes Washer Dental Chair Discharge Well Dishwasher Disposal Domestic Well Drainfield, 4" Tile/Res. Drains, Area Drains, Floor Drains, French Drains, Roof Drinking Fountain Filter Replace Fountain Gas - Appliance Gas - Natural Gas - Propane Gas Piping Grease Trap Ice Maker Indirect Wastes Interceptor Laundry Tray Lavatory Meter Set (Gas) Minimum Fee Miscellaneous Equipment Miscellaneous Fixture Miscellaneous Repairs Pool Piping Pump and Abandon Pump, Domestic Pump, Fire Stand Pump, Re-circulate Pump, Replace - Pool Pump, Sprinkler Pump, Sump Relay Repair Roof Inlet Septic Connection Septic Tank Sewer Connection Shower Sink Soakage Pit Solar Water Heater Sprinkler Repair Sprinkler System Supply, AC Well Temporary Toilet Temporary Water Closet Urinal Utility - Sewer Utility - Water Vacuum Pump Water Closet Water Heater Water Heater New Water Re-pipe Water Service Well, Supply DATE: CLOORTO BATH TUDO 6/4°W[M° LAVA. Tornio Couto EILOP Omuta LAUNDRY .1, UMICALO CATCH DRAIN FLOOR DRAIN DRINRIGIC POW41 TOTAL FIXTURES CONTR. LIOT Cmaca Sa.PTIC TARR OCWIIR COHN. DRAM PHILD COAKA0a IT ORMAOR TRAP GOLAR HCATCR DaaP l'IfaLL Opent.o. 0118TIM OWIWO POOL Coorra. LIOY Ctelea ,--- ?emit No " Application is hereby made for the approval of the detailal atatemeat of the plans and specifications herewith subm tted for the building or other structure herein described. This application is made in compliance arid conformity with the Building; Ordinance of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shares Village and all rules and regulations of the Building Division of Miami Shores Village shall lea complied 1th, whether hwerin opezifiecl ea wt. A copy of approved plans and specifications must be kept at building during progress of work. Owned° Name mid Address W NEB E L Registered Architect and/es: Engineer EgaplearK Plumbw'c A .1 _PUbl Gac 1/ idf 7 4 g e- ption Lot_ -51 ..t. subamdconzg,9_hezz__zvos 642 Stmt and Nuinhar when work lc to ha perform 78 N.E. 93 S t . ed—No StIvztMiarrki_Sho rp s State work to be performed and purpoee of building (By Fisnro).&10_YI/E.114 _/9 na)-79/ • New ..... Remcdeling_—....--- Addition Repairs No. of Stories Size Septic Tank__ —Type of Taelc Feet of Drain Tile DJt. liczt of Tank c Drain Field from Well._ Nature of Water Supply: City—Well. Size Soakage Pit Amount of Permit 0 45 The undersigned applicant for this building permit doze hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has Cora- plied with the provisions thereof, and will require ahnilar compliance from all contractors or sub-matadors employed by him in the work to be performed under this permit; and will post or OM= to bo posted' for inspection 0311 the site of the wortr ouch public notice or notices as are required by the Act. The undersigned agrees to employ Only Mea Onb-controctose, to ha performed under this permit, as are limasftl by Miami Shares Maga. STATE OF FLORIDA, I COUNTY OF DADE. Page - 3 hy Commissioa Nergircs RECEIVED AND REVIEWED BY: Onfl.AGM ONOREZ VOg.En,©E PLUAGING ONSPECTION DEPARTMENT APPLOCia0CM FOL3 PLUMBOR90 PEEMOIT No 78 N E sarG2t....9 t (stgled)_ _i_A--Vidieta Plumbhig Inspector. Dnto. Nctary IPtab!tie, at Plumber. Before me, the undersigned authority, a Draw pob& el. y atatkulsed to admindeteg oaths and take achnow!vigmento, personally appeared to me well 'mown, and who, being by me first duly swami, apses cath diva:ass and sego that he is the of the above described construction, that ho ba a:m.0M1ii larl aka foregobeg app and that ha silo, the sages, and that fects therein by him stated are true. cf linouftie NOTE: A re-Inspection foo o tam va, F6--gt vkzo ra-Es u:IcNentArn sethrezoz=ogy h Lu3ns= Extleo Cog Enspertion, ee &ashy materials and/or weelmatebip. PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE QTY. TYPE QTY. "FlTE QTY. "1 QT1'. Minimum Fee A/C Central 1-3 Ton A/C Central 4-7 Ton A/C Central 8-15 Ton A/C Central 16-20 Ton A/C Central 20+ Ton A/C Window Air Conditioners Chiller Clear Violations Compactor Deep Freezer Demolition Dishwasher Dryer Fan Fire Pump Fixture - Fluorescent Fixture Light Flood Lights FPL - Load Central Garbage Disposal Generators, etc. Heat Recovery Low-volt, Burglar Low-volt, Fire Low-volt, Intercom/Teleph. Low-volt, Television Outlet, Appliance Outlet, Wall Outlet, Switch Oven Parking Lot Lights Plugmold/Strip Posts Range/Range Top Receptacles Refrigerator, Comm. (p(PH) Refrigerator, Domestic Renew - Temp Service Repair Circuits Service, Number of Amps Service Repair Service, Temporary Signs Space Heater (kw) Spas/Hot Tubs Subfeeds, No. of Amps Swim Pool, Commercial Swim Pool, Residential Switchboards Temp Serv., Construction Temp for Test - 30 days MECHANICAL TYPE Minimum Fee A/C Central; Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue Bath Fan-Vented, # QTY. 1.1 TYPE Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of ()Ty. TYPE Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel Q'FV. TypE 1.1 Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections QTY. PLUMBING TYPE QTY. TYPE QTY. TYPE QTY. TYPE (fry. A/C Condensate Bath Tub Bidet Cap - Fixture Cap - Water Cap - Sewer Catch Basin Clothes Washer Dental Chair Discharge Well Dishwasher Disposal Domestic Well Drainfield, 4" Tile/Res. Drains, Area Drains, Floor Drains, French Drains, Roof Drinking Fountain Filter Replace Fountain Gas - Appliance Gas - Natural Gas - Propane Gas Piping Grease Trap Ice Maker Indirect Wastes Interceptor Laundry Tray Lavatory Meter Set (Gas) Minimum Fee Miscellaneous Equipment Miscellaneous Fixture Miscellaneous Repairs Pool Piping Pump and Abandon Pump, Domestic Pump, Fire Stand Pump, Re-circulate Pump, Replace - Pool Pump, Sprinkler Pump, Sump Relay Repair Roof Inlet Septic Connection Septic Tank Sewer Connection Shower Sink Soakage Pit Solar Water Heater Sprinkler Repair Sprinkler System Supply, AC Well Temporary Toilet Temporary Water Closet Urinal Utility - Sewer Utility - Water Vacuum Pump Water Closet Water Heater Water Heater New Water Re-pipe Water Service Well, Supply DATE: Page 4 OFFICE USE ONLY CIIECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) • CONCURRENCY (New Construction) O OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ ( ftt. x/1000 $ (¢.005 /sq.ft.) $ (¢.0I /sq.ft.) $ $ dzd $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ Jq ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Permit No. ..___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUM ING 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address a L No Street Registered Architect and /or Engineer _ - - -- Employing Plumbei gi s Name Y ` ti - ' - - - - i _ > No Street___ Location and Legal Description Lot Block____.__ Subdivision Street and Number where work is to be performed -No. _ y4-4. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition._._ Repairs No. of Stories Size Septic Tank v 1 -e- u Type of Tank__ Capacity Gals Feet of Drain Tile Dist. Feet of Tank Or Drain Field from Well Nature of Water Supply: City -Well — Size of Soakage Pit 8 ' Amount of Permit $ 1 8 - --- - - - - -- — _ - - -- - -_ (Signed)._ _ fl 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 5988, Compiled General Laws of Florida Pennanent 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. (Signed ) -_ Date .1 d-_ - Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat. therein by him stated are true. My Conunission 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 faul materials and /or workmanship. CLOSET° BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS I NALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURC1 CONTR. LIST - -- SEPTIC TANK . SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL _ CONTR. LIST CHECK 0 � i Permit No. ..___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUM ING 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address a L No Street Registered Architect and /or Engineer _ - - -- Employing Plumbei gi s Name Y ` ti - ' - - - - i _ > No Street___ Location and Legal Description Lot Block____.__ Subdivision Street and Number where work is to be performed -No. _ y4-4. Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition._._ Repairs No. of Stories Size Septic Tank v 1 -e- u Type of Tank__ Capacity Gals Feet of Drain Tile Dist. Feet of Tank Or Drain Field from Well Nature of Water Supply: City -Well — Size of Soakage Pit 8 ' Amount of Permit $ 1 8 - --- - - - - -- — _ - - -- - -_ (Signed)._ _ fl 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 5988, Compiled General Laws of Florida Pennanent 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. (Signed ) -_ Date .1 d-_ - Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fat. therein by him stated are true. My Conunission 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 faul materials and /or workmanship. BUILDING ❑ ELECTRICAL PLUMBING [J ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT 'N° 12643 Work to be performed under this Permit BL Subdi- vision DATE 195 Contractor's License No Value of Amt. 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 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building 1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT 1ST? 12635 n Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No. 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. 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ' BY AUTHORITY Permit -- Application is hereby made for the approval of the detailed statement of the plans and specifications here th submitte or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordi ante of Mid. i 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT —. —_ (Signed) (Sign Date-_ No Street No.._ - - - -- Street Location and Legal Description Lot _ __- - - -- __ Block_- ______. 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_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L Size of Soakage Pit C` 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 rc licensed by Miami Shores Village. "� � �';? � - Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay 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 fa ul m aterials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE! � CONTR. LIST / Iy p� / - 1. -- CHECK j. a V 7.S GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT COHTR. LIST CHECK / / • d t) Permit -- Application is hereby made for the approval of the detailed statement of the plans and specifications here th submitte or the building or other structure herein described. This application is made in compliance and conformity with the Building Ordi ante of Mid. i 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Nature of Water Supply: City —Well Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT —. —_ (Signed) (Sign Date-_ No Street No.._ - - - -- Street Location and Legal Description Lot _ __- - - -- __ Block_- ______. 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_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L Size of Soakage Pit C` 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 rc licensed by Miami Shores Village. "� � �';? � - Master Plumber. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fay therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fa ul m aterials and /or workmanship. REQUEST FOR IN$PE TION company Job _ Address Inspection _ 'ime Ready A.M. `ate Ready Application is hereby made fo the approval of the detailed statement of the plans and specifications her6eGith submitted for the building or other structure herein described. T s 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. rk / (� C11 k _.,L.5 • /A- No 7V 3 , C: Street / Owner's Name and Address___ ___ _ Permit No. Registered Architect and /or Engineer Employing Plumber's Namerftlite 0 k f/i — . No. 13 .2,5 )1 - --- Street JA3 / ST Location and Legal Description Lot 3 - A °� Block ' Street and Number where work is to be performed—No ... _________r 1 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 Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well. Amount of Permit $___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT The undersigned a plicant 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. 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. (Signed) (Signed) Street Date Subdivision_ __ __47____x 1 Plumbing Inspector. D• Master Plumber. 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, materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS i j',_ TOTAL FIXTURES CONTR. LIST J / a 1 / P f ltt,,, CHECK , SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE. TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM' G POOL / ( � 1 (/' I CONTR. LIST CHECK Application is hereby made fo the approval of the detailed statement of the plans and specifications her6eGith submitted for the building or other structure herein described. T s 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. rk / (� C11 k _.,L.5 • /A- No 7V 3 , C: Street / Owner's Name and Address___ ___ _ Permit No. Registered Architect and /or Engineer Employing Plumber's Namerftlite 0 k f/i — . No. 13 .2,5 )1 - --- Street JA3 / ST Location and Legal Description Lot 3 - A °� Block ' Street and Number where work is to be performed—No ... _________r 1 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 Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City—Well. Amount of Permit $___ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT The undersigned a plicant 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. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ss. 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. (Signed) (Signed) Street Date Subdivision_ __ __47____x 1 Plumbing Inspector. D• Master Plumber. 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, materials and /or workmanship. Permit No._ ) 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 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 Registered Architect and /or Engineer__ __ _ —_____ Employing Plumber's Name / No F Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No _ - -- -- Street ) State work to be performed and purpose of building (By F oors) ( �` ? L. ' ? L J !',-- New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SFFGRE -S VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No G Street (Signed) (Signed) My Commission Expires Notary Public, State of Florida Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water upply: City —Well Size of Soakage Pit Amount of Permit $__ / 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. Plumbing Inspector. 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 inspection, or faulty materials and /or workmanship. ' CLOSETS BATH TUBS SHOWERS OWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBS INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No._ ) 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 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 Registered Architect and /or Engineer__ __ _ —_____ Employing Plumber's Name / No F Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No _ - -- -- Street ) State work to be performed and purpose of building (By F oors) ( �` ? L. ' ? L J !',-- New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SFFGRE -S VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No G Street (Signed) (Signed) My Commission Expires Notary Public, State of Florida Size Septic Tank Type of Tank_ Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water upply: City —Well Size of Soakage Pit Amount of Permit $__ / 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. Plumbing Inspector. 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 inspection, or faulty materials and /or workmanship. ' BUILDING ELECTRICAL PLUMBING Owner of , Building '� y Architect MIAMI SHORES VILLAGE, FLORIDA -PERMIT N? 6743 Work to be performed under this Permit � ; Contractor or Builder Legal - Lot Bl. Description / Address of e CO ,� ; ?� Value of Amt. of / / ` Building ') / a � ■-----,-; ,4 Project Permit l/ This permit granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 conditpn upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge -the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings qr in the or specifications and at he assumes respon- sibility for work done by his agents, servants or employees. d Signed. ^ r /. ;Z, y By f '' = INSPECTOR In nsideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ert - ieret�o ndin stric o t37 with tlje plans, drawings, statements or specifications submitted to the proper authariities of Miami Shgre�V age. I pertain' ac g t perm' r r, nsibility 6r all work done by either myself, my agent, servant or employee. ONTRACEOR OR BUILDER Subdi- vision DATE 1 7 194 Contractor's License No. BY AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N° 6831 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Building Project CONTRACTOR OR BUILDER Contractor's License No. 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 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 the statements or specifications and that he assumes respon- sibility 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N? 6809 Work to be performed under this Permit Contractor's License No. Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building 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 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 the statements or specifications and that he assumes respon- sibility 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER 1 BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner' ` Buildini Architect f�. /` ,✓ PERMIT NNT° 6809 Contractor's License 'No. Work to be performed under this Permit Contractor or Builder Legal Lot Description Address of Building i This permit is granted to the contractor or .udder named above to construct the building or to install the equipment or device desolibed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 assuines respon- sibility 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 regul titans pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acOepting this permit I assume rpstio sibility for all work done by either myself, my agent, servant or employee. • CONTRACTOR OR BUI BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA rr •Subdi- vision Value of Project DATE Amt. of Permit 194, BUILDING ELECTRICAL PLUMBING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6743 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 respon- sibility 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 accepting this permit I assttiie "responsibility for all work done by either myself, my agent, servant or employee. f DATE 194_ BY sTITIIORITY Contractor's License No.