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59 NE 92 St (8)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date 11 L U Time Type Insp'n )-71 Foal Po 0 Permit No. 0 o3-113-. Name 'li� Iva Address S ci NsE —1 Company Phone # For Inspector: Approved Correction Re- Insp'n Fee Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTME T 305- 795 -2204 Building Inspection Request Da 1 • Time Type Insp Permit N Name Address 51 . es Compan ccc�' Phone # • 5S— For Inspect°, 3 2_, 1 03 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 � , `^ Type Insp'n ! > 1,.,1' C) (� j Permit No. t,\ M /v 1 Time n &rclinci Name Address 5C1 C D— S 4- Company \ C� Phone It(, q - 5L-Da For Inspector: Ni e & Date Approved ❑ S Correction I ` '.,‘( Re- Insp'n Fee 71 ' / '7'/ 5,/,6'/(- /3Y4i. fie .tea S e 4'/ /� `/ ..- l'; Date Type Insp'n Permit No. Name — Address Company Phone # For Inspector: Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re -Insp' n Fee ❑ ❑ /7 er /.6-l5 MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Requ Date g laq Time Type Insp'n itp, CCD1 /SIab Rough Bondi i nQ �1 `J Permit No.3 • 11 Name FA nQ Address 5q N E AOS of Company V i UI K Phone # 305 . a3 3 . ga)? For Inspector: QI Approved Correction Re- Insp'n Fee Name &Date Printed: 5/7/2003 Applicant: LANI Owner: KISILUK JOB ADDRESS: 59 (4) Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Contractor P Local Phone: Parcel # 1132060130250 Signe In consideration of the issuance to me of 11 conformity with the plans, drawings, stateme done by either myself, my agent, servants 01 Signed: NE 92 Z OD 8 Electrical Permit Permit Number: EL2003 -117 KISILUK LANI ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 17 & 18 BLK 2 LOT SIZE 100.000 1 C. oG Total Fees: $#):60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 11/3/2003 Construction Value: $1,000.00 Work: ELECTRIC FOR POOL PAY TO THE ORDER OF s ec nri7 enhanced A'oc'um.cn7: "g'r b � \d tai I S O TECH 2000 ELECTRICAL CONTRACTOR,` INC 8230 NW 168TH ST. ` MIAMI, FL 33016 PH. 305 -505 -5800 � 2� i Inreramericon Oor '� 9190 Coral Way . Miami, Rnride 33165 FOR % E_. 116 000: 501'' s : ?OB? ?691: fl L cnn DATE 5 00 DOLLARS 63- 8776/2670 CONTRACTOR Name Teo _tQ .2000 c License No. C , C # 07 COO /0‘f Address T 30 Pte.' / G' s Telephone 90.c- ` 5_O lux S 3'0 Qualifier Name PROPERTY OWNER New Construction Name eT o_"'ISZ- {< ■ 5 I / Yc Address �r _ 13?.. 20o3 - y‘,3 Home Telephone Repair Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. 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. Step 2. 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: 5 C/ /v E cl -2 $ ieik ( 5 h i p/Z(15 Address Folio Number Description of Work Lot Subdivision PB PG Current Use of Property JJ� Proposed Use of Property /Z n, 5 / c>r Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PI CL AY - 5 2003 Block Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax City State Master Permit No. B P- .260 3 — L/6 3 Subsidiary Permit No. (7 A • 1 t 2 Bldg Value PERMIT APPLICATION Zip /1)(' ° Zoning Linear Feet Square Feet Units Floors Value of Work f) (0C—) Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax 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. AFFIDAVIT - 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 brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: STA igna a of Contractor / Qualifier Print Name orn to d subscribed before ,. this day of / gnature of Notary Public - State of Flori SEAL: Personally known PERMIT APPLICATION COdAtNtatialaosER IAMI- ADE Type of Identification Produced: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CIIECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES Metropolitan Dade County (C.C.F.) ( sq.ft. = x/l000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ CONDITION OFAPPRO\AL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL 7 Minimum Fee Q . 1 . 1 , 1'1: Dryer QTY TYPE Outlet, Appliance QT1 TYPE Service Repair QT1' AJC Central 1 -3 Ton fr -�j g41- Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential / Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New 1VIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. T1TE Generator ()Ty. TYPE Refrigeration, Tons QTV. AJC Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUNIBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. Tl'1'1»; Miscellaneous Fixture ()Ty. TYPE Soakage Pit ()TN. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Permit No,// Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfrfitted 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 C/L. No Street Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 70 2 / 9,-/ Registered Architect and /or Engineer , Employing Electrician's Name.. .�J '� ? f . ... No —3 Z~ 1/ Street & ' / 7 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,--- 7 Street. .. 9 State work to be performed and purpose of building (By Floors) New Building .1 Remodeling Addition Service ° Overhead Size Feedersl Conduit......1..rMain Sw.....r...!'.V Amps Type of Installation — Conduit Tubing v B.X.L Metal Moulding ss. MIAMI SHORES VILLAGE The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to emplo only ugh subcontractors, on work to licensed by Miami Shores Village. / ( Before me, the undersigned aut�,,,pri. appeared to me well known, and who, being by me fir of the above described construction, a therein by him stated are true. Lf Date Repairs No. of Stories a Main Fuses Amps (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub •contractors employed by him in the of the work such public notice or notices be performed under this permit, as are f � '1'Signed) P 7,9 ul authorized to administer oaths and take acknowledgments, personally savor u • • ' th deposes and says that he is the foregoing application, and that he did sign the same, and that all facts 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 HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CGNTR. LIST / / (j i / . "'7 / 0.2 / Qs it _ , / ) �i ) I 1 q �/ / p �/J '`� / .c 7 / f / /� 5 � ,( /a�, i J V CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CLusr LIST / f it CHECK / GP`''''' � � / Permit No,// Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subfrfitted 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 C/L. No Street Amount of Permit $ STATE OF FLORIDA, l COUNTY OF DADE. I ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 70 2 / 9,-/ Registered Architect and /or Engineer , Employing Electrician's Name.. .�J '� ? f . ... No —3 Z~ 1/ Street & ' / 7 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No ,--- 7 Street. .. 9 State work to be performed and purpose of building (By Floors) New Building .1 Remodeling Addition Service ° Overhead Size Feedersl Conduit......1..rMain Sw.....r...!'.V Amps Type of Installation — Conduit Tubing v B.X.L Metal Moulding ss. MIAMI SHORES VILLAGE The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to emplo only ugh subcontractors, on work to licensed by Miami Shores Village. / ( Before me, the undersigned aut�,,,pri. appeared to me well known, and who, being by me fir of the above described construction, a therein by him stated are true. Lf Date Repairs No. of Stories a Main Fuses Amps (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub •contractors employed by him in the of the work such public notice or notices be performed under this permit, as are f � '1'Signed) P 7,9 ul authorized to administer oaths and take acknowledgments, personally savor u • • ' th deposes and says that he is the foregoing application, and that he did sign the same, and that all facts 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. Permit No.... // .. 4 Owner's Name and Address ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Employing Electrician's Name �%- No 3,.../) Street Location and Legal Description Lot / 7 / t Block Subdivision... Street and Number where work is to be performed —No , Street 05 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No Date Street_S... Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) 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 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) Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I 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, 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST T CHECK Permit No.... // .. 4 Owner's Name and Address ss. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or Engineer Employing Electrician's Name �%- No 3,.../) Street Location and Legal Description Lot / 7 / t Block Subdivision... Street and Number where work is to be performed —No , Street 05 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories No Date Street_S... Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) 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 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) Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I 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, 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. BUILDING ❑ Architect Contractor or Builder Legal Description Address of Building Lot e CONTRACTOR' OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ( ' PERMIT 'No 11421 PLUMBING 1 ROOFING ❑ Work to be performed under this Permit Owner of'��� Building Bl. • 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 of in the statements or specifications and that he assumes responsibility for work done by his ag servants or employees. /< <' Signed F INSPECTOR In consideration of the issuance to me of this permit I to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all wort: dgrie by either, myself, my agent, servajt or employee. Subdi- vision Value of Project $ BY' P } [ 4 DATE 195A. Contractor's License No Amt. of Permit BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor ' or Builder ^` MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11247 Work to be performed under this Permit Subdi- vision Legal Lot II 31. Description Address of . ; Value of Amt. of Building t v �i Project $ I Permit $ permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applIca` :ion 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 iany time if th'e brlis' 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 derstanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulat'forf's t pertaining xo; 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. 1-.3 y ;, Signed • . ! { � . <r r A f f � , . . : W4 , v; - By 1`, In consideration of the issuance to me of this permit I agree t9' 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 ermit I assume responsibility fori.all work done by either, myself, my agent, servant or employee. CONAGfTdR OR BUILEk BY DATE r 195 Contractor's License No AUTHORITY •