59 NE 92 St (10)For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Req
Dat Time
ti
Type Insp'n
Permit No
Name
Address S c 1)
Compan
Phone #
o
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Req
Dated (I IO
Type Insp'n >•'I to I Pt01
Permit No. Fi 03 - 13
Name
5q Pt_ a &_•
Address
Company
Phone #
For Inspector: (( j
Approved
Correction ❑
Re-insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Requ
Date Time
Type Insp'n
- -Permit No. C •
Name
Address J ��
Compan
Phone #
For Inspecto
Approve
Correctio ❑
Re -Insp' Fee ❑
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shorrs, Florid 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -897/
Date Job Address g 5 'v , / s, - s'( f Tax Folio R E C E O V E D
Legal Description Historically Designated: Yes
Owner /Lessee/Tenet Master Permit # 6
L- P-043--
Owner's Address � P hone
Contracting Co. J-19 N RA. //J 4A, Address ( 3 L S W 9 - 2 k_
/ �p5
Qualifier 7/6 '& G at "` � SS# > ( 1- Phone S 0
State # r 5-75c)(/
Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit
Type
WORK DESCRIPTION:
(circle one): BUILDING ELECTRICAL
PO 6 f (p, N
Square Ft. Estimated Cost (value)
8P a-u o 3 — 41-c
MECHANICAL ROOFING
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required
for all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be d in compliance with all applicable laws
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work st
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President
My Commission Expires
FEES: PERMIT U 1 RADON
APPROVED:
C.C.F
Signature o ontractor or Owner Builder Date
Date Notary as to Contractor or Owner Builder
My Commission Expires
Date
NOTARY .5. V '0 BOND
TOTAL DUE V r
Zoning Building Electrical
Mechanical Plumbing ( Structural Engineer
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/20/2003
Applicant: LANI
Owner: KISILUK
JOB ADDRESS: 59
Contractor J P ENTERPRISES INC
Local Phone: (305) 233 -8008
Sign
Parcel # 1132060130250
NE 92
Plumbing Permit
Permit Number: PL2003 -138
KISILUK
LANI
ST
Contractor's Address: 11731 SW 97 AVE
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 17 & 18
P 5-ea 85 , Co
Oa
oja,oa
Total Fe $0.00
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 11/16/2003 Construction Value: $1,000.00
Work: POOL PIPING
(INSPECTOR)
In conside . i suance to me of this permit, I agree to perform the worts covered heamun0a etairAtiteN WS
conformity with the p . ns, drawings, statements or specifications submitted to the prweat euirtNgrce (
done by either myself, my age ants or employes.
Page 1 of 1
BLK 2 LOT SIZE 100.000
. ACCOUNT
r
- 1
PAYMENT
EiAL. DUE
1=111
1111
DATE
j ' 7 (
ECEIVED FROM
L
LI
OFOR
0 FOR
1 • J ( 1( , ..,
(%.,..: 1 ( . ',.,, J l / • ;.
CASH
1 FROM ---'-'
0 CHECK (,-...______ _ . / '
r - VAONEY i By i._,...,, - 1 I / /
No.
RECEIVE. FROM
MM. 11170
ASPI"
1,1011. or■orussoonint.s
The City of Miami Shores:
RE: Residential Swimming Pool Barrier Requirement for Permit Number BP 2003 -463
Please be advised that:
Mr. Peter Kisiluk
59 NE 92 Street
Miami Shores, FL 33138
Permit # BP 2003 -463
will have a Kid Safe Pool Net ® installed over his swimming pool instead of the
previously applied for Baby Fence to satisfy section 424.2.17 Residential Swimming
Pool Barrier Requirement of the new Florida Building Code.
Kid Safe Pool Nets are manual safety covers that are nationally listed to comply with
ASTM 1346 -91 (Standard Performance Specifications for Safety Covers and Labeling
Requirements for all Covers for Swimming Pools, Spa's and Hot Tubs).
Please find attached the following documentation to support this listing.
1. Certificate of Listing and Listing number for Kid Safe Pool Nets, Inc.
2. Sample of approved listing mark and label (actual label will be affixed to all nets)
If there are any questions, please do not hesitate to give Kid Safe Pool Nets, Inc. a call.
Kim Nothard
President
)(J SOje,
Pool Nets
3101 SW 3RD AVENUE • FORT LAUDERDALE, FL 33315 -3317 • TOLL FREE1- 866 - 463 -5700 • FAX 954 - 760 -9973
WEBSITE: www.kidsafepoolnets.com
MEMBER
u
NATIONAL
SPA &POOL
INSTITUTE
Rib
has been found eligible for ARL's Listing, Labeling
and Follow -up Inspection program under laboratory
number(s) L/N 30137
Signed this Il_ day of A pril
1GA
11 .
O F LI
APPLIED RESEARCH LABORATORIES
certifies that
ate cot Ado, btr.
,2001
Director ofi'ngineering,
APPLIED RESEARCH LABORATORIES
Miami, Florida
4
f
APPLIED
Kid Safe Pool Nets, Inc.
Ft. Lauderdale, FL 33312
RESEARCH LABORATORIES
5371 N.W. 161st Street .Miami, Florida 33014
Phone (305) 624 - 4600. Fax (305) 624 - 3652. Email ARLTEST @aol.cam
PRODUCTS LISTED
Pool Safety Net, Model trade -name "Kid Safe" (File 30137)
LISTING MARK (LABEL)
fJR
LISTED REINSPECTID1J SERVICE
012345
APPLIED RI:SI:.URC11
C) LABORATORIES. INC.
MIAMI. h1.UR1UA 71014
YOUR
PRODUCT
LISTING
HERE
YOUR
COMPANY
NAME
HERE
lti'!Nvo:§14..r c't4'-d"s. i�. —rte i tu?
1,39TE0 RE: \SPECTVN ii :R1(YE •
Ljuuu
APPLIED RESEARCH
LRSiORATORIES, INC.
uiatu. 11CRICA
14x At•Yr
NOTE
Only products which bear the
ARL Listing Mark (Label)
are considered Listed by ARL.
L/N 30137 Kid Safe Pool Nets, Inc.
Issued 04/11/01 Page C -6
As a mutual protection to clients, the public and ourselves, the contents of this report and its associated documents are the sole property of Applied Research Laboratories, Inc. Authorization for publication
of statements, conclusions or extracts from or regarding this report is reserved pending our written approval. This report applies only to the standards identified and to the sample(s) tested and/or
inspections made. Unless otherwise specified, the test and /or inspection results are not indicative or representative of the qualities of the lot from which the sample was taken or of apparently identical •
or similar products or materials.
Permit No.
Application is hereby made 'orfie approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. his 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.
Name and Address
Registered Architect and /or En weer �p
Employing Plumbers Name 1 - - =- N -__
Location and Legal Description Lot _ Bllock__ ..... ___ Subdivision
Street and Number where work is to be performed— No.__6_ _ ' —1 2 5/ _ Street
State work to be performed and purpose of building (By Floors)._
Remodeling Addition__-_ airs__ __ . . -. _.__
Re -__ ...__ No. of Stories
New Building - -- - -- g - -- p
Size Septic Tank Type of Tank__— Capacity Gals
Feet of Drain Tile
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date)AN /9i—Y
e N / 9...3.74' O } 46- Street._._ 1 5-3
_Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well / —. Size of So Pit
,l
Plumbing Inspector.
The undersigned appli nt for this permit does hereby ce d that he derstands and accepts his obligations as an employer of labor
under the Florida Workme 's Compensation Act, 'ng Section 5966 neral Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance 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 si ' f the work ch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, • . ork to be rformed. u -,• er this permit, as are
licensed by Miami Shores Village.
(Signed)._
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. j
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 tat.
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 faul
materials and /or workmanship.
CL OSETS
BATH
TUBS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKINO
FOUNT NS
TOTAL
FIXTURE.
_
CONTR.
LIST
- --
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
H EATER
DEEP
WELL
SPRKLR.
SYSTEM
SWIM 'O
POOL
CONTR.
LIST
CHICK
Permit No.
Application is hereby made 'orfie approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. his 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.
Name and Address
Registered Architect and /or En weer �p
Employing Plumbers Name 1 - - =- N -__
Location and Legal Description Lot _ Bllock__ ..... ___ Subdivision
Street and Number where work is to be performed— No.__6_ _ ' —1 2 5/ _ Street
State work to be performed and purpose of building (By Floors)._
Remodeling Addition__-_ airs__ __ . . -. _.__
Re -__ ...__ No. of Stories
New Building - -- - -- g - -- p
Size Septic Tank Type of Tank__— Capacity Gals
Feet of Drain Tile
Amount of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Date)AN /9i—Y
e N / 9...3.74' O } 46- Street._._ 1 5-3
_Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well / —. Size of So Pit
,l
Plumbing Inspector.
The undersigned appli nt for this permit does hereby ce d that he derstands and accepts his obligations as an employer of labor
under the Florida Workme 's Compensation Act, 'ng Section 5966 neral Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance 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 si ' f the work ch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, • . ork to be rformed. u -,• er this permit, as are
licensed by Miami Shores Village.
(Signed)._
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. j
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 tat.
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 faul
materials and /or workmanship.
Amount of Permit $
Permit No.1/ ` /__ / 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 specif?.ed or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address 4/J/ 1 \ � / No `� Street d j
Street and Number where work is to be performed —No.
ss.
n 1 y •
MIAMI SHORES VILLAGE*
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Registered Architect and /or Engineer_
Employing Plumber's Name f �+ i' No i d („ti Street
)
Location and Legal Description Lot 1 7 t 1 'J Block
Street
Size Septic Tank Type of Tank #apacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well /
P
My Commission Expires Notary Public, State of Florida
Subdivision B'
State work to be performed and purpose of building (By Floors)
New Building 1 Remodeling Addition Repairs_. No. of Stories /
Nature of Water Supply: City —Well Size of Soakage Pit /4? if)
0
( Signed) / 11
Plumbing Inspector.
i /Ji
The undersigned applicant for this building permit does hereby certify that he understands d 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. •
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 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 $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BATH
CLOSETS TuaS
SHOWERS
LAVA-
TORIES
SINKS
SLOP
SINKS
� 1
j�'LpA.Il
WO' RINALS
�I
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'
TOTAL.
FIXT URES
CONTR.
LIST
t� /J //
ti�'� j
/� j /�
`�'
/ ///
0
0
C�j
CHECK
/ �'-
9
,
f
4 0
j� �+
f/ .
[= ,.
.
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SO a
HEATER
DE EP
WELL
r�$PPi&R�.
SYSTEM
SWIM'G
POOL
P, ',-`a'
Qom t !
i
'-i,.,
CONTR.
LIST
/
, 'i Q/�
L c l ( .,� . c'
i e.-aJ
< J
CHECK
/
(r
Amount of Permit $
Permit No.1/ ` /__ / 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 specif?.ed or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address 4/J/ 1 \ � / No `� Street d j
Street and Number where work is to be performed —No.
ss.
n 1 y •
MIAMI SHORES VILLAGE*
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Registered Architect and /or Engineer_
Employing Plumber's Name f �+ i' No i d („ti Street
)
Location and Legal Description Lot 1 7 t 1 'J Block
Street
Size Septic Tank Type of Tank #apacity Gals
Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well /
P
My Commission Expires Notary Public, State of Florida
Subdivision B'
State work to be performed and purpose of building (By Floors)
New Building 1 Remodeling Addition Repairs_. No. of Stories /
Nature of Water Supply: City —Well Size of Soakage Pit /4? if)
0
( Signed) / 11
Plumbing Inspector.
i /Ji
The undersigned applicant for this building permit does hereby certify that he understands d 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. •
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 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.
Date J L U — 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 . — -� :.. y No Street
Permit No. 11_ '771 6
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot _I__ ,/
Street and, Number where work is to be performed —No ,..-_ ,t_ `_� .__ �, _. t
Street_
work to be performed and - purpose of building (By Floors) :_.
New Building Remodeling Addition Repairs No. of Stories
Size Septic 'Y , ('
Feet of Drain Tile JC ' 4
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Type of Tank / Z„. C
No • - 6 4. 1e Street - �.�
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well Size of Soakage Pit
F ,
( Signed)
Subdivision
Capacity Gals '•
The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled_C eral 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.
My Commission Expires . Notary Public, State of Florida,
Plumbing Inspector.
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 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
S HOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
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
Date J L U — 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 . — -� :.. y No Street
Permit No. 11_ '771 6
Registered Architect and /or Engineer
Employing Plumber's Name
Location and Legal Description Lot _I__ ,/
Street and, Number where work is to be performed —No ,..-_ ,t_ `_� .__ �, _. t
Street_
work to be performed and - purpose of building (By Floors) :_.
New Building Remodeling Addition Repairs No. of Stories
Size Septic 'Y , ('
Feet of Drain Tile JC ' 4
Amount of Permit $
ss.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Block
Type of Tank / Z„. C
No • - 6 4. 1e Street - �.�
Dist. Feet of Tank or Drain Field from Well
Nature of Water Supply: City—Well Size of Soakage Pit
F ,
( Signed)
Subdivision
Capacity Gals '•
The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled_C eral 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.
My Commission Expires . Notary Public, State of Florida,
Plumbing Inspector.
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 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
ROOFING
Owner of 4 Jd �'
Building
Architect
1 / PERMIT IN? 11226
'Contractor
or Builder iv?0
Legal L
Description
Address of
Building
Work to be performed under this Permit
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Vie
rr'a +,f' IA 7 R' •
Subdi-
vision
Value of
Project $
DATF
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 respo §ibility fo a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the;s ttements b . specifications an that he assumes responsibility for work
done by his agents, servants or employees. 4 k
A
Amt. of
Permit $
Contractor's
License No
195
E OR
In consideration of the issuance to me of this permit ',agree to p rform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, state nts or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by, „eith , myself, my)ent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
I
Architect
, f
Contractor ..,r9
or Builder '"
Legal Lot
Description /7 ? ''
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
DATE
Pr PERMIT 1■1° 11189
n Work to be performed under this Permit
BL
2
Subdi-
vision
Value of
Project
BY
BY
Contractor's
License No
Amt. of
} • a I - 4 � Permit $ �y
j� I
This permit is granted to the contractor or builder named above to construct the r to install the equipment or device descri be in the application
r
herefor in strict compliance with all ordinances pertaining thereto and with the unde gn�t the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved y It i pfo r municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plan re ed wjtout authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above ass a on iibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawl r`y statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
=Fe
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
taining thereto and in strict conformity with the plans, drawings ) tatements or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work doge, by either, myself, my agent, servant or employee.
coNTRACToic6e BCJILuk —"
AUTHORITY
195..
Architect
Contractor
or Builder
Legal
Description
Lot
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BUILDING E
ELECTRICAL PERMIT N? 11401
PLUMBING E21'
ROOFING t) Work to be performed under this Permit
Owner of
Building
BI.
.l�
Signed:
Subdi-
vision
Value of
Project $
BY
DATE
A
Contractor's
License No
•
•
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.
195/
,sf
Amt. of
Permit $ 4 +.MPAW+' 1/1001001'
INSPECTOR
In consideration of the issuance to me of this permit I agree to p form the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statfbents or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by myself, my agent, servant or employee.
AUTHORITY