BUILDING PERMITSKIND OF INSURANCE
POLICY NO.
EXPIRATION
Workman's Compensation
09 U 04116
September 20, 19'
Limits of Liability
Contractors' Public Liability
$ 10,000. / 20,000.
D 333266
September 20, 19;
Contractors' Property Damage
$ 1, 000. / 10, 000.
D 333266
September 20, 19
Contractors' Protective Public
Liability (Contingent)
S. /
Contractors' Protective Property
Damage (Contingent)
$ /
Name of Insured James R. Menna
The work undertaken at said location is as follows•
Form G -13•UX
mei%iean
u t
To Miami Shores Village City Hall Attn: Mrs. Walters
Miami,Shores, Florida
Gentlemen: This is to certify that the insurance policies the numbers and expiration dates of which are listed below are in force in
this Company as of this date September 21, 1951
CERTIFICATE OF INSURANCE
Date Saptember...24.1951
covering in accordance with the terms thereof at the following
location: 731 N. E, 95th St'eet Miami Shores, Dade County, Florida
Contraction
In the event of cancellation, it is the intent of the Company to notify you five days prior to its effective date, but it
assumes no liability by reason of failure so to do.
AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA
By
W. J. Moffatt
Authorized Representative.
2
2
2
-a
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... Ci "f`
r '
Owner's Name and Address._ .._Z:; .. � 8i:,_:__�1 No..._._*
' Street_.:—
Registered Architect and /or Engineer . _ ..... 9 i :' 4 2, rP
Name and address of licensed contractor..__ _ .., � ;�'
Location and legal description of lot to be built on:
Lot 12 . ( ,_ _. Block sr' Subdivision.. F��� �°_� ° `'A' -)
Street and Number where work is to be done_2$/ 4/r _ r / -
State work to be done and purpose of building (by floors)
To be constructed of felf Kind of foundation ( /C
F ...-
19➢
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories... etie
Roof Covering
t =;
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required / _Plan Cubage
Distance to next nearest building 2' Size of Building Lot / X /' ? .
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_.f ; ,� r 1' e r
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, on work to be performed under this
permit, as are licensed by Miami Shores Village. -41
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. ,
Permit No Date " Sworn to and Subscribed before me.
Disapproved ., Date L.__ __4
('' l Notary Public, State of Florida
(Signed) � , j ? : .: >
Building Inspec o/ My Commission Expires
PLANNING BOARD DATE
Chairinan 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.
�i 1l4 of Miami Shores N° 4708
JOB
1 I /
ADDRESS / %� • t_; �°
INSPECTION 1- 13 J n1 D A 7 I n w.A
TIME READY 7- �7 -"
REMARKS
Q ll . )I' a
INSPECTOR DATE 7- 2- 7-5"-Z..
'Villacie of Miami Shores
JOB
ADDRESS ) �? a Ail • L" . 7
INSPECTION
TIME READY
REMARKS
V
INSPECTOR DATE
N° 4762
STATE OF FLORIDA,
COUNTY OF DADE. ss
. ,�_'1
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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 ... i.1._. . ( ...... - A..d .» No. ?.. ..1 StreeLW=
Registered Architect and /or Engineer ....,,...,- :.....,:
Name and address of licensed contractor ( - +° t _......
Locatioq and legal description of lot to be built on:
Lot t1/ $..I01 &Block .62 Subdivision PI S c- 1.11 , .. 3 _._
Street and Number where work is to be done
State work to be done and urpose of building (by fl o o r s )
and for no other purpose.
New Building Remodeling K Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
�
O'er a °.'
. Estimated Total cost of improvements $ --- 06 — 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 Libor 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 stated are true.
`P
Permit No. _____.�`S2 T_ Date 1 2 Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Buil ing nspcctor Commission Expires
c"
to me well known,
PLANNIN r/ 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 hecn 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 oe faulty
materials anti /or workmanship.
( Ni
8 7 J i NI : ��
THE VI LAGS.'. MANAGB*
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/3234 -- 2 - Z7.6 . 6,
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STATE OF FLORIDA) SS
COUNTY OF DATE )
° ''`'Y''"' - SZ- of the Village of 'Miami dhores,
C.oun of Dade and State of Florida being duly sworn, doth depose and say,
that under the provisions of Ordinance No 185,, dated June 15, 1948, amends.
ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code
of Miami Shores Village, he desires to build a
on Lot 1 'I.L w -- 0 Block ( of 1
that he is the owner of said property, and will be the owner of said division,
he sue times as are required by Zoning personally, Building and that
� g Directo° _ -
1. File plans and specifications and obtain approval of the
Planning Board and the Building Inspector.
2. Apply for and secure a Permit.
3. Pay the required fees.
4. Execute the work in accordance with the provisions of this
Code.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision
has been made to carry the necessary Workmen's Compensation,
Public Liability and Property Dsmage Insurance.
7. File with the Building Inspector as the job progresses certi-
ficates showing the payment required by the Federal Social
Security Act to the State of Florida or the United States of
America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Miami Shores Village for any part or
portion of the work.
9. Not set himself up as a "contractor ".
10. Sign an affidavit before commencing work to the effect that
he has read this Article and will do the work personally and
observe all of the requirements Of the Building, Electrical,
Plumbing and Zoning Codes of Miami Shores Village. Such
affidavit to be properly notarized upon blanks to be supplied
by the Building Inspector.
11. In order to prevent abuses and subterfuge thr right of such
owner ..builder as herein provided,'is limited to but one
owner - builder permit each 2 years, and where an owner - builder
has once exercized the privilege herein conferred no second
application for owner..builder permit shall be granted in less
than. 2 years, unless the applicant is qualified as a licensed
General Contractor under the applicable Ordinances of said
Village.
And Further this Deponent says not:
A F F I D A V I T
SUBSCRIBM AND SWORN TO BEFORE ME this day of
�9
/e
c±s ��
OMN
NOTARY PUBLIC.
D• ,
1.. - • , 7"
Y.. X t lot t lc
ve ma c 1.nc n rectioz u.r.a
correct to the be r-c of friy tictu r....1:uf.
obi *in t.;, ace') cre
( ,
F N SLIF'ff:VOTI
ST!-$TL: or nor
_
PI.
,
According to the Pt ths.:csci as recorded 11,
c ecor 0 ace
or _
t'
Date
Legal Description
Owner / Lessee / Tenant LA// /114-)" /"4 ti /
Owner's Address 731 /1/,E 7 S 5 T
Contracting Co. S /i'2S C20/2/ Address 65 SW s ST /a997,Api.25
Qualifier ,7 s SS# Phone 62 0 S7 S 7
State #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOPIN ENCE SIGN
WORK DESCRIPTION //1l6 r/94 L 4 Cr/Z z/s,y •d G / /=5 C>C)
ALSO= //VC/1 / 7 /;71,/,),e
Square Pt.6 S 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 construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
nat of
Date.,
** * *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
9 . Job Address 7 A4 `:S 5 7 Tax Folio
wner and
Municipal # I` - 2 °e" Competency # .P C.) Ins .Go. g2Z 784) O
Notary as to Owner and /or Condo President
My Commission Expires:
Fire
Mechanical Plumbing_
FEES: PERMIT 1 10, RADON C . C . F . e s O NOTARY
Master Permit I 3 g
Phone ` 5 /-66/3
1
f fC Coon n trac or or O npr- Builder
Notary a6FMCIAWRA AL."- = er - Builder
,e /99
My C OPAI T MAtTE OrF
COMMISSION NO. CC417499
ocvr 21 1900 * **
gem Joe. A
TOTAL DUE ys- �-S-
3 of
Other
Zoning BuildingA l y ( Electrical
Engineering
P
7L Le Y
gV /L
? '3 l
c4, v, wmsiv
N .F !-v
1 ,E. 9 5 5r
Ex i5 i .
P,
L
OWNER'S NAME
Tames R. Manna
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
731 N.E. 95th St.
LOT
12-17
BLOCK
68
SUBDIVISION
L S Sec. 3
GENERAL CONTRACTOR
owner-builder
ADDRESS
PHONE NO.
LICENSE NO.
12086
BUILDING PERMIT NO.
9 -20 -51
DATE
17,00
PERMIT FEE S
0 ynp{_ BUILDER'S BOND
- 5 -51 1.330 9-20-53.
NO. DATE
1 7,500
ZONE PEQUIREME CU. FT.
2 2,735
PLAN CUBE CU. FT.
13,000
EST. COST S
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
GBS
STORIES
1
ROOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
tile and oak floors,rlaster
silo and 001132'1r�O
REPAIRS
DESCRIPTION 3
bdrm. -2 baths -kitchen - solarium- living roan-2 car carace
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE-SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
1
CERTIFICATE OF OCCUPANCY NO. 19C �1
w r,c
ISSUED `-�
BY --
T_. _
TO ) - -• f —'�
l u- r'
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
PERMIT NO. !DATE '
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
FEE
TEMPORARY SERVICE
/ /./.f „` „
S
SEPTIC TANK
^^
/ 0� 1 / V
BEAMS & LINTELS
Ii - /5
I
' •
$ -
SOLAR HEATER
FRAMING
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
EY
RE- INSPECT
FINAL
p'
)
,
-
ROUGHING
CLEAN -UP
f'
H. W. HEATER CONN.
SEWER
CONTRACTOR -
PHONE
PERMIT NO. !DATE '
FEE $
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
/ /./.f „` „
S
SEPTIC TANK
^^
/ 0� 1 / V
q'' S' ' J /
$
SEWER
$ -
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
EY
RE- INSPECT
BY
ROUGHING
)
is t
-
ROUGHING
GAS
f'
H. W. HEATER CONN.
SEWER
RANGE CONN.
SEPTIC T A N K
✓ ',: .
!'..; �
SOLAR HEATER
JiliwA
FIXTURES & FINAL
FIXTURES
1
-
CONTRACTOR 't •
PHONE
PERMIT NO. - '` ` 1 1 DATE J! ' ' r
J
FEE $ 'y' ��
NEW BLDG. 1 ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
/ /./.f „` „
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY IRE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
- ,-, „I
is t
-
ROUGHING
-
f'
H. W. HEATER CONN.
RANGE CONN.
JiliwA
FIXTURES & FINAL
-
BU INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE j
ADDRESS
731 N.:]. 23 th ^t.
12 -71113 bl. 68
LEGA -
RECORD GARBAGE TAX
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
Tnriea r1.1.1 ,,,a
_ 9 -20 -51
1
f--5-7/`
;712 ' • 5-2--
° %
- � '- 4 z.
'1 i
/
ADDRESS
731 N.:]. 23 th ^t.
12 -71113 bl. 68
LEGA -
RECORD GARBAGE TAX
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder.
Legal Lot
Description, I . 4 La
Address of
Building
73i
Thie permit is granted to the
herefor in strict compliance with all
drawings, statements or specifications
time if the work is not done in
granted is the understanding that
pertaining to the work covered herds
done by his agents, servants or em
M IAMI SHORES VILLAGE, FLORIDA
(
DAT
❑ i .E MIT 'N? 12086 >-
s1 jriormed under this Permit
....v.t
Signed:
BY
Contractor's
License No.
BY
At rtioitiTY
Bl. I _ �' S ubdi -
C .
11 vision S • s i r 4.- .
�, Value of Amt. of /a ++
I 1 ‘ 44. � 'Pr oject $_ 11 Permit !
builder named, above to construct the building or to install the equipment or device described in the application
ai Iinanee pertaining thereto and with the understanding that the work will be performed in compliance with plane,
ttt may have been submitted to and approved by the proper municipal authorities. This Permit may be :evoked at any
ith ordinances or if the plans are changed without authorization. A further condition upon which this permit is
et- builder named above assumes the responsibility for a thorough knowledge of the ordinances and regula
wn on the plans or drawings or in the statements or specifications and that he aseumes responsibility for work
In consideration of the issuance t6 me o this permit I agree to pe the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict senior with he plans, drawings, etateme s or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume reppon Irbility for all work done by either, myself, my agent rvant employee.
•
1
BUILDING
ELECTRICAL ❑ P R
PLUMBING ❑
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder y
Legal Lot
Description,
Address of
Building "/
This permit is granted to t
herefor in strict compliance with
drawings, statements or specificati
time if the work is not done in
granted is the understanding that
pertaining to the work covered he
done by his agents, servants or emp
CONTRACTOR OR BUILDER
MI\ MI SHORES VILLAGE, FLORIDA
ort to be performed under this Permit
IT IT? 12486
s
Subdi-
vision
Value of : ; h,,r` 11 Amt. o f ..m15# Permit "'k Project
B uilder named 'above to construct the building or to install the equipment or device described stt the application
is pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
iii y have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
tractor or builder named above aeeumes the res•onsibility for a thorough knowledge of the ordinances and regulations
whether sho I n on the plans or drawl u . or in t statements or specifications and that ke assumes responsibility for work
ogees.
Signed
1 ! A , L,/
`i t.: V .. v . _ BY i
INSPECTOR
In consideration of the issuance to me of this, permit I agree ° . rform the work covered hereunder in compliance , with all ordinances and regulations
pertaining thereto and in strict conformity Witt the plans, drawings, eta • ents or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for It work done by either, myself, my agent, servant or employee.
DATE l al.- ,r
4 460.
AUTHORrrY
Contractor's
License No
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
PERMIT
Lot • I
r., t3 �� � l . 4
Address of , / A)' -- 7FE
Building
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 complianoe 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 spe '. is " -.'•' d that he assumes responsibility for work
done by his agents, servants or employees. � ,
Id ;
Signed -
IN ROTOR
In consideration of the issuance to me of this permit T agree to perform the work cov =d hereunder in compllance with all ordinances and regulations
pertaining thereto and in strict conformity with :the plans, drawings, statement's or specificatio .. submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all wfOrk done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
4
Work to be performed under this Permit
N
7
N?
z'I ry�!
BY
/ S /- 6 ,c!
Subdi- /
vision
Value of
Project $
- 01/110. 0
DA
g r ey
Gr • refractor's ;k
I SA" e°t r ..�
Amount of
II Permit $
^Vtdl,01�" o'`f•
AUTHORITY
' Y O
195
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFNG ❑
Owner of -
Building •k)
Architect
Contractor
or Builder
Legal
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI
PERMIT
7 ..
(.t.
Lot
Bl.
SHORES VILLAGE. FLORIDA
DATE_ a 195
N9 4094 Contractor's
License No
Work to be performed under this Permit.,.. v-4 -. Z ,)
ti 7 '
This permit is granted to the contractor or b uilder named above to construc 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 0 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 diown on the plans or drawings or in the stateme s or specifications an at he g e wnes responsibility for work
done by his agents, servants or employees.
Signed. `-
�` L �Y':
B _
2 4 1 4 4;
ter.
gel 4
Subdi-
vision
Value of Amount of
Project $ II Permit $
s
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder
ereund 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, se it or yee.
AUTHORITY .4
`villag? of Miami Shores
JOB /30Ani y. .�
ADDRESS 7 I/ . S
INSPECTION %5E ,4 C.- ;1;4 er .x
■° 4731
TIME READY
REMARKS , f?IL .
INSPECTOR DATE "�-
MI MI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ PERMIT )J 12296
PLUMBING
ROOFING ❑ Work be perform under t Pe
Owner of AM; '
Building
Architect
Address of
Building
This permit is a ii
herefor in etrict coin ' ice with all
drawings, statements or epecifitagiono
time if the work is not done in
grantedjs the understanding
pertainifyg to the work covers
done by his agents, servants a
r
In consideration of the issuance to m
pertainin4 thereto and in strict conform
In accepting thie permit I assume rasp*
stain above to str
thereto and with the
ten to and app
finances os e plans a i
Ider named ve aesum
on the plans of drawing
Subdi-
vision
Value of
Proj ect
Signed;
I agree to perform
tatements 0
t the bui
yp4 rst;
:hangs j
ie r
Contractor
or Builder,
Legal
Description
roll
WilefAt
1
DATE- 1 195.
Contractor
License No
ing or to install the equipment or device
that the work will be performed in compliance with an
per municipal authorities. This Permit may be at any
out authorization. A condition .. , which this permk is
ity for a thoro .:. knowled of
or spei eep
work covered hereunder in compianca s aid ordinances
pecifications sebmitted to the proper autborlties of Miami
f, my agent, servant or employee.
A