BUILDING (3)MIAMI SHORES VILLAGE
BUILDING DEPARTME
305- 795 -2204
Building Inspection Req
Date Time
Type Insp'n
Permit No. �( ' r. g,
Name
Address
Compan
Phone
7 4 /AXM p
For Inspector:
Approved JJ `� 1 L7
Correction ❑
Re- Insp'n Fee ❑
/1
Sri
All dimensions & size designations
given are subject to verification on
ob site and adjustment to fit job
1 1 1
conditions.
THE
EXPO
This is an original design and must
not be released or copied unless
applicable fee has been paid or job
PP � P� 1
order placed.
B070F8B6
MARIA #2 KM
MARIA JORGE
42 NE 94 ST
MIAMI SHORES, FL
Scale : 3/8 " = 1'
Design : 10/23/0
Date 11 /25/02
w no.
s
Designer
ROMI SOTO
351
1301 60
35
�611 M1{vru�S .... . ...
.... • .
� ... • • • • • • • • • . pa - off • • • .
. . • . ...
B24R.2
FWT
•• • • • •• ••• ••
•
48 / : ::60 •
•
WR3618
36" REF -3D
W2436R
W3018
83
• ••• • • •••
•• • • • • • •
• • • • • . • • • •
•
or •••• •
141 •
B18L ; B33.4T
B24L.2
FWT
W2436L
141
/ 33
BBC45R
L
WA2436L
DISH
I. 24"
BWB
15
1 - - - --
fR
U15
24
J
W12
36L
W18
36R
331 / 24
40
53 1302
372
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 2/4/2003
Applicant: MARIA
Owner: JORGE
JOB ADDRESS: 42 NE 94
Contractor
Local Phone:
Parcel # 1132060130330 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & E1/2 OF LOT 8 BLK 3 LOT SIZE
Fees:
FEE2003 -700
FEE2003 -701
FEE2003 -702
FEE2003 -703
Permit Status: Approved
Work: KITCHEN REMO
If there is no permit pac
fee is $50.00, which must
This Permit is granted to the co
ordinances pertaining thereto and
and approved by the proper munit
authorization. A further condition
ordinances and regula'•ns pertai
by his agents, serva r - plo)
Signed:
In consideration o e issuanc
with the plans, dra ngs, staterr
myself, Iny agent, servants or e'
Signed:
PAY TO THE
ORDER OF
FOR
1 Y U �/
LEADING BUILDERS CORP
OPERATING ACCOUNT
1437 NW 9th ST
DANIA, FL 33004
Building Permit
Permit Number: BP2003 -136
JORGE
MARIA
ST
Contractor's Address:
Description Amount
Building Permit Application Fee $60.00
Buildier's Bond $300.00
CCF $1.80
Notary Fee $5.00
Total Fees: $366.80
Total Receipts: $0.00
FIRST UNION NATIONAL BANK
OF FLORIDA
R/T 067006432
63-643/670
Y (►.gt I rkivtt
«00147 cium - 1 : 200000 7 38 L05011
1116 DOCOMENT CONTAMy A COLORED BACKOROVND ON WMTE PAPER. MICROPRIM IB LOCATED BELOW TM; WARMNO BAND.
1
ELECTRICAL
TITS
e 1
QTY.
TYPE
er • • • •
Q"i
•
TNTE
wce
(fry.
"rvi' :
QTY.
A/C Central -3 Ton
Heating Strips, each
Fan
Outlet, Wa
Service, Temporary
Paint Booth
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
- Piping, Flammable Liquid
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Pressure Vessel
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
MECHANICAL
TYPE.
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE:
Generator
QTY. TYPE
Refrigeration, Tons
Q'I'Y.
A/C Central, Tons
QT Y.
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
Pump and Abandon
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Gas - Appliance
PLUNIBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
QT Y.
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 2
IMPORTANT NOTICES
•• ••
DO NOT BEGIN ANY WORK WITHOUT HAV1NL IIEGEWED Y(jUR 1/411DA1T PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTItUCTI6N 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 MAINTNNEIZ IN A WAN, NEAT•4NC ANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL SHALL CR4E FRbM.DIRT REND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING D/VMAGED23Y,EquttvtFIST i✓EHICLES, 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, 1" 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.
TATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Owner
�
worn to and subscribed before me this 2 / day of 4 `�
Print Name
Signature of N
SEAL:
M tit c -
MY COMMISSION #'CC 97485E
EXPIRES: October 12, 2004 �>
Bonded 'Nu Notary Pubic thderndters t
Personally known L OR, Produced Identification
•
• •
• •
••. •
Type of Identification Produced:
• • •
•
• • •• • •
• • • • •
•••••••
S
•
•
•
•
STAT
Signature of ton for / Qualifier
Zni
Print Name
..: ture of 4tetary Public -
SEAL:
Personally known
and subscribed before me thi
PERMIT APPLICATION
FLO. tom, CO OF MIAMI -DADE
onda
<OR% Angela M Becker
• My Commission DD150048
or n . Expires November 15, 2008
OR, Produced Identification
Type of Identification Produced Q 0 ec3k 17
Page 3
• •••
• • • • •• •
• • • • • •
• • ••• • • •
•
••• •
• • •
•
•
• •
• •
• • ••
• •• •
• • •
PERMIT APPLICATION
•
INSTRUCTIONS: Please indicate the type of befit %peirfotmedabd.q antity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
PROPERTY OWNER
Name 6) 1 # / O •d S C • /'>` t •
License No. C..._ 6 c _ 0 s, / Y 7 •
/Name M I A C. J OzGE-
Telephone C cy , tad . Fax
n Fax 5- /, 75 s , 22.
Qualifier Name o, ( /f d S s
\ddress 42 NE c14.5.-c- S c1.
M 1 -ffl \ S l�t'D.I'
331
3
)
Home Telephone (3o,\ _i si ^ (o i ci j
Demolish
Business Telephone (3 0 s) 243 - 11.13
Shell Only
Fax
Foundation Only
CONTRACTOR
Name 6) 1 # / O •d S C • /'>` t •
License No. C..._ 6 c _ 0 s, / Y 7 •
Address /175- f_ SUN2 /5-° pi_ Ni
SvtTG 7S/ fT clivv.- Fi 333W
Telephone C cy , tad . Fax
n Fax 5- /, 75 s , 22.
Qualifier Name o, ( /f d S s
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
Page 4
OFFICE USE ONLY
CHECKLIST
❑ 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
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
•
• •
• •
••• •
••• •
• • • •
• • •• • • •
• • • • • •
• • • • • • • • •
• •••
• • •
. .
❑ • •
PROOF OF OWNERSHIP
(Attach)
•• ••• •• • • • •.•
❑ HgS / DUZI∎14P1314)NF ;, : •
Ntrtie Cower) • • • •
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
(X .ft. = x/1000
$ (¢.005 /sq.ft.)
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
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
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Complete the attached permit application which m st b tbl roDerty Sailer and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processlD off` your i8n. :If roofinn 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:
/() 9V' s' &Ion 1 Skk s 2- 333-3K
Address
Folio Number
Lot Block
Subdivision
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Zoning
quare Feet ry� Units Floors
Value of Work ° 1 0 6 Bldg Value
Tax ssessed/Appraised Value
Flood Zone Base Floor Elev.
PB PG
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
• • •• •
• • • • • • • • • •
• • ••• • • • • • • • •
• • • • • • • • • • • •
• • •. Master r
t mit No.
•� • • A.11 sidilr3 Permit No. •
• • • •
• •
• • • •
••• • • •
PERMIT APPLICATION
sw
City State Zip
scription of Work 'k: re-1/1 �-- /?k L j
Nev.. G4441a5=6 NEw coue./Mt.6 J6w -> UtP'DPfiFQ ('.c,E.lucat,ex.
Linear Feet
ENGINEER
Name
License No.
Address
Telephone
Fax
Owner's Name and Address .... Sherba
STATE OF FLORIDA,
COUNTY OF DADE.
Disapproved
(Signed)
ss.
Citair:nan
MIcrr.ber
Mcmbcr.. — .....__....._..._._ ...._.._....
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby uindc for the approval of the detailed statement art 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 111 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
puns and specifications must be kept at building during progreu of the work.
Registered Architect and /or Engineer .,.,_ •.. ,,,• „,.,.n „.
Name and address of licensed contractor Southey ,.�umigato a ,_,�� o . a ..,A
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) Fumigate for termites 4 7 29-80
211.,00 cubic feet
Ncw Building Remodeling Addition Repairs X No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 246000 Amount of Permit $. 7,11(1
Zone cubage required 24.,.000 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.
peared
Building Inspector
Date
Date... ..._ ». _ — ...w Jgly 28 ..._ -- .. »... 19 80 _
.— No.42. »... » Street...11....1.0.
and for no other purpose.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as a employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pertn;ene•nt 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 performe 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on •L to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
SOUTHERN Ft j 11CMATOit0, INC.
}+ 3j:30 S.W. �l Street
.Before me, the undersigned authority, a notary public, duly authorized to adminisret.o isigag6c9tg9afk�Ngts, personally ap-
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 .......... bate 1, - $ Q ' 0 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Mcmbcr
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- Inspection is made necessary by Improper notice for inspection or faulty
. .. :U.••• ••• .lf.•••..,,j�,,....:If.••••.•,I f J, lg f , • .. . ii lf,... 9 f „ f , • ...,, a f & .,� f. .1 f ,.•..•,�f,,..., .1 f.• .�/.•...,,� f,•....,��, � . y .. ��, � . y .. �l � . y . . tr. •• .. , t� , .....,al
11GVKAfIG lI 41 i1(.��tI�TW�ii liGti�1'CP�iAINI M11 1iC TMli tOWni tl 1140W5i1G 1icWa tiCOT051iceRniI �1COT4Itl It
:::::: .
ti
.
[.....
tea)
... F.
F. .
5
r.
VILLAGE BUILDING INSPECTOR'S APPROVAL
vi
I hereby certify that the construction contemplated under Building Permit No ° 9 7 has been completed and
that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before F
commencing said construction.
•:• WHEN CLEARED AND REPAIRED BY THE VILLAGE C Q c
F.
�;•�
Village Inspector, ptami Shores Village. :
Amount of Bond ” • $ 50.00
APPROVED:
Building Ia Buildin
%:� Cost of clearing and rep done by Village . • $ �� 4
t c�
Balance due Builder $ c' ® o• Sanitary Inspector.
5 0.0
� 1 r r: i t. !E r. n r� It r. n 1t n jt n n rs rt n n i rt r
. JC•.:.:••''iCt.Mv'.°..'•li`•° °.'Cro •ii`• :/J '•Jr °•'•iY`•' ,,•'•ii` •'•i •'• ° .•'•fir: •'fi lr.,;,;,•'•1ek•'• ` •'••' •'•' ` •'•. `o�°'. `°�°' c ' .ep '•' ` °•'•..`° ?. "° '`
Jl• li• lY• JC••...•�Jl••...•�11••...•�1C• JC• Jl'• Jl'• ll'•
aiami Jhores
T L O R I D A
BUILDER'S BOND
KNOW ALL MEN BY THESE PRESENTS, that I, '
c
WITNESS MY HAND and Seal at Miami Shores Village, Florida, this _�" cJay of
INSTRUCTIONS TO BUILDER -- -When above mentioned construction is completed and the pre
Village Building Inspector and obtain his approval, after which Miami Shores Village will refund yo
r
N° 485
in consideration of the issuance 'to me by Miami Shores Village, Florida, of a permit (No 4! 1 " 7 ) to construct or repair
a building at or upon the following described property in said Village.
Lot p A , Block
Subdivision
.- do hereby deposit with Miami Shores Village, Florida, the sum of Fifty Dollars ($50.00), and I agree with said Village that, when such construction shall
have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me,
used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the
completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and
repairs out of the aforesaid Fifty Dollars, and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then
":4- said Fifty Dollars shall be returned to me.
(Seal)
cleared and r #fired take this bond to the
oney in accordance ith the above agreement.
N9 369
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Subdivision
Miami hores Village, Fla.,
Owner, Age 23, Tenrnt of Building
Lot 7. ' l - Block J
Street Address
Approved use by occupancy
Remarks
This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the
erection, construction, alteration or remodeling of buildings or struc ures.
A 7
ILDING DIVISION
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description —
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
❑ PERMIT N? 2729
0
CONTRACTOR OR BUILDER
Work to be performed under this Permit
B1
Subdi-
vision
Value of
Project $
DATF ) 195,:_
Contractor's
License No.
Amount
Permit
of
$
BY AUTHORITY
7,
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
6
BUILDING
ELECTRICAL
PLUMBING
CONTRACTOR 011 BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 4099
Work to be performed under this Permit
Owner of
Building
DATE 194_
Contractor's
License No.
Architect
Contractor
or Builder
Legal Lot Bl. Subdi-
Description vision
Address of Value of Amt. of
Building 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
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AD6RESS 42 .NE 94th St
LEGAL 7 -E 8 Blk 3 MS #1
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PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
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AD6RESS 42 .NE 94th St
LEGAL 7 -E 8 Blk 3 MS #1
ECDR® G