457 NE 95 St (9).1NG
.i:ECTRICAL
PLUMBING
ROOFING El- Work to be performed under this Permit
f
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
El
PERMIT '11T1? 11436 DATE
I
n
MIAMI SHORES VILLAGE, FLORIDA
Lot
a
f ` Value of Amt. of
Building e/ ,- Protect $ r Permit $
r
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.
CONTRACTOR OR BUILDER
1
BL '
Subdi-
vision
BY
) i I
Contractor's
License No
:.
195_.
Signed • BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work eyed hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or spe ' tions submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, mysel y agent, servant or employee.
AUTHORITY
i�� &mow
BUILDING
ELECTRICAL
PLUMBING
HOOFING
❑ DATE
❑
PERMIT N° 5710 Contractors
License No.
❑ Work to be performed under this Permit
Owner of
Building
CONTRACTOR OR BUILDER
4rchitect
7.ontractor
Dr Builder
.egal Lot
')escription
MIAMI SHORES VILLAGE. FLORIDA
Subdi-
vision
address of �� Value of Amount of
7uilding �I Project $ $
u.
This permit is granted to the contractor or b above to construct the building or to install the equipment or device described in the application
ierefor in strict compliance with all ordinances per ereto and with the understanding that the work will be performed in compliance with any plans
Irawings, statements or specifications that may have mitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime if the work is not done in compliance with such or s or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builde h,:ed above assumes the responsibility for a thorough knowledge of the ordinances and regulations
, ertaining to the work covered hereby whether shown on . , .; ns or drawings or in the statements or specifications and that he assumes responsibility for work
one by his agents, servants or employees.
Signed may:
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
'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION Fo UILDING PERMIT
Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Owner's Name and Address/¢ ' L 0._ .�!�._
Registered Architect and /or Engineer__- _
Name and address of licensed contractor_...4. ___ _ ._. ._.. __
Location and legal description of lot to be built on:
Lot -. Block Subdivision .
Street and Number where work is to be done '5"i 7 �� A.JE 95 '
State work to be done and. purpose f building (b floors) - -./ e. -•
-%3 O
Date Z/311° ? 19.
No. .9.5 7 Street_J/E- 9s'
C e,,•v
To be constructed of Kind of foundation
Estimated Total cost of improvements $ /7" • . Amount of Permit $
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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, Pennanent Supplement,
and has complied with the rovisions 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. ^ � Jam'/`-- `-✓
Remarks_.__ (Signed) b
pp- i?6f1/5
and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories
yering
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Permit No 1 % ___ ._ . _ Date T — 3 - C -7 Read, Sworn to and Subscribed before me.
Disapproved _ P Notary Public, State of Florida
ate
� ,/
(Signed) -- �- � - /_°'''`:� -- - ,. /� - � - -- - -- -
Buildi nspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved ! __Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged, when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
D a t e 7 /zo7 s > J o b A d d r e s s X / 6 95 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant f A/,F,' F Qu / 71 Master Permit #
Owner's Address /5 A/. . 9 J P. Phone Oar) ,S f/SZ. & -
Q Address 8J2 2 s Cv. P r. A a y 3 3 /S?o
Qualifier At/ C, E Z / -"/ . Phone (30.3 PC,
Contracting Co. ZX EC- 7i ,Z Fiji <, � .✓
State # << < 0 3 9 7 9 J Municipal # / 9 / } 9 G - Competency # Ins. Co.
Architect/Engineer // . Address
Bonding Company d� i9 Address
Mortgagor y /ft t' �O R 1 C �. C v� A � A � L
si 4 T
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'T'ION /ac°j9/4 L67,4.4 ,OLd �'- — o ?D Cot•e/L 6Lc/
✓7 J `ti44%, %'e /e'. c e Jl�
Square Ft. 5
L 4 '
AID
t r alliikta'ws1 tAgsident
r " . .1 ;c. CSTATE OF FLORIDA
Co .r, LION NO. CC714703
MY COMMISSION EXP. MAR. 9
Notary as
My Co
FEES: PERMIT
RADON
APPROVED:
Zoning Building
Mechanical
Date
C.C.F.
0/e/ 4/4C /jJr�l.1.r>v
Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating instruction and zoning. Furthermore, I authorize the above -named contractor to do the work st ed.
( ;
' L.. ►�� 11 ice..
- 02.2 ¥
Sign- • ii of o er + Condo P sident Date nature of Contractor or Owner - Builder
_� - - Z) / - /2—‘1&
Notary as to Contractor or Owner - Builder
My Commission Exp
7///
Date
VLADIMIR ROBLES
NOTARY PUCLIC - STATE OF FLORIDA
My Commission Expires Apr. 3, 1999
Comm. No. CC 450300
/ a NOTARY ,, BOND 3 0
TOTAL DUE
7///
Date
22 ,E
/
Plumbing Engineering
/ I Electrical
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Legal Lot
Description
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Owner of `
Building �--�` � �` * • `� "' � r � -� ° •-
Architect
Contractor
or Builder g. r.
B1
N° 6676
Contractor's "? + ,
License No.
Work to be performed under this Permit
Subdi-
vision
Address of ( a; Value of ;,f1
t Amount of
Building ...J Project $ I Permit $ C.
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 applica-
tion 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 r 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
-1
DATE - 1
9
OR BUILDER BY ..AUTHORITY ABBOT N'
1
Name and address of licensed contractor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Date / / , 19
Owner's Name and Address.. No y 2
.... Street . -- --..
Registered Architect and /or E neer °
R fAr
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
New Building Remodeling. Addition
To be constructed of Kind of founds ion
Estimated Total cost of improvements $ S .- Amount of Permit $
Zone cubage required Flan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 rovisions 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 subcontractors, on work to be perfo ed under this
P
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
5
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Permit No 4 7 1
Disapproved
(Signed)
Date
Date /
Repairs ms's No. of Stories
a
Roof Covering
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
and for no other purpose.
Building Inspector My Commission Expires
PL; NNING BOARD DATE
Chairman .. Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Owner's Name and Address____
\...-kis...-SIA,-
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Registered Architect and /or Engineer
Name and address of licensed contractor __ 4_11 1 r __
Location and legal description of lot to be built on:
Lot Block Subdivision
S - . R so"
State wo to b= . ;, e . nd purpose of building (by floors) �Q�R.___.
a�`
Street and Number where work is to be done
and for no other purpose.
New Building Remodeling Addition Repairs I o. of Stories
To be constructed of Kin�of foundation__ oof Coverin ___9.
Estimated Total cost of improvements $____ -_ 0-_ __Amount _ Amount of Permit $____ � __
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the ans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands an accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L.. s of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors 'r sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted fo inspection on the le of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only sl . ntra s, o, we to .e performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Sig
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pe onally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him st to a,/��e true. --"C
Permit No �� Date Read, Sworn to and Subscribed before me.
Disapproved � / �� -- -- -- - - -- - - � ate
(Signed)
Building Inspector
to me well kno
Notary Public, State of Florida
My Commission Expires
PLANNI BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Owner's Name and Address [_t .
Registered Architect and /or Engineer JJ
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1 " -
State work to be done and purpose of building (by floors)._
4
Disapprove
( Signed)
APPLICATION FOR BUILDING PERMIT
Permit No 6 7 Date
MIAMI SHORES VILLAGE
Date
0
Chairman
Member
Member
BUILDING INSPECTION DEPARTMENT
Member
Member
Member
Date " –
No. _ 7.1s_ 7
treet__7_r
6 ad e
and for no other purpose.
19
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof ci vering
Estimated Total cost of improvements $ „ Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to —
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 AGt, 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 subcontractors, on work to a performed under this
permit, as are licensed by Miami Shores Village. 1 _
o / / •
Remarks ( Signed) _ • / • - -
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
_-- -___ -- 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.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspect° " My Commission Expires
PA NING BOARD DATE
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Owner's Name and Address Lasseter -457 NE 95th St.
Lot
Block
State work to be done and purpose of building (by floors)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Subdivision
Date April 30
No Street
and gravel. Install counter flashings next to main building__
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 the work.
Registered Architect and /or Engineer
Name and address of licensed contractor Lang_ Roofing_ &_Tile_Go. I.3Q__NL__7_9t}i__St.
Location and legal description of lot to be built on:
Street and Number where work is to be done 457 N E 95th St _
Reroof with 300 felt, 2 -15# felt asphalt
and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories__
To be constructed of Kind of foundation Roof Covering X
Estimated Total cost of improvements $ 9135.00 Amount of Permit $ 05.00
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 subcontractors, An work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 stake are e.
Permit No Date Cj Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector
PLANNING BOARD DATE
Notary Public, State of Florida
My Commission Expires
,19___
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address ' 57 AI, E. 95 .S7
��JJ Tax Folio &/ `� � /y ®i9 ,Q
®'
Legal Descriptiona � iA /00V�� vV �(J �,r A/5 Raster Permit # ✓ 2 0We
Owner / Lessee / Tenant »l YS. (a / // r) t� AV
Owner's Address 457 /v, ,�. / ( 5 S.) phone 75 - S 4 .Z
Contracting Co. 'R. Yl • ( PO inn er RppFtnq Cnir Address €B0/ S (,</• X/ • S. /I7 /OA F�
Qualifier 9Ob�er- /i,Pairney J phone 46 6 - 03 75
State# Competency# //Z_ 14/ Ins. Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION ,Re rooF N. \'V
3a - i • e Ins /f
0 . l P*C%S , o
Square Ft. //
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS,
POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
will be done in compliance with all applicable laws regulating construction and zoning.
Furthermore, I authorize the above -named contractor to do the work stated.
A/2.)
1,4
.31,440
GY .viuLgf
Signature of Owner and /or Condo President
Date:
cqp 3h e e.
- -rotary as • Owner and /or Condo President
ly Co i Expires: /l- )7 - Q3
PERMIT FM: APPROVED:
Zoning
Mechanical
Address
Address
Address
/ S4 oral cvird Wes side Rod y
firvrre( 7 le ch /=(41.4 t o=u. t5t u3 6
Estimated Cost
Fire
Building
Plumbing
Signature of Contractor or Owner- Builder
Date:
i U l roh, r Y Notar a o ntractor or Owner- Builder
M C mmis n Expires: -l7-
* / * * p
Other
Electrical
Engineering
r FiLze
IILDING ❑ MIAMI SHORES VILLAGE FLORIDA —
CTRICAL ❑ Date 19_47
IMBING ❑ PERMIT N? 8584 Contractor's
JFING License No
r of .
ling
itect
'tractor 8 "
.wilder . o ` 'j i
r
a1 Lot
:cription 1 B1
tress of L ,,. r . .w , r jej 'ding
CONTRACTOR or BUILDER
Work to be performed under this Permit
1
Subdi-
vision
Sq Ft.
Value of = y ' 11 Amount of
Project $ 11 Permit $
.:a
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 applica-
■erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
y 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
lit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
lations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
ty for work done by his agents, servants or employees.
. I , . • (INSPECTOR) ' i?
INSPECTOR BY �°
In consideration of the issuance to me of this permit I ree to perform the work covered hereunder in compliance with all ordinances and regulations
ining thereto and in strict conformity with the plans, dr ings, statements or specifications submitted to the proper authorities of Miami Shores Village.
cepting this permit I assume responsibility for all work done by either, myself, m y agent, servant or employee.
BY AUTHORITY