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1200 NE 96 St (15)lUILDING ❑ LECTRICAL ❑ 'LUMBING ❑ 1OOFING ❑ 0 )wner of luilding rchitect :ontractor r Builder , egal Lot tescription ddress of uilding CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE - 195 PERMIT N° 6657 B1 Work to be performed under this 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 application :refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any .?e 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations, ztaining to the work covered hereby whether shown on the plans or drawings or in the sta nnents or specifications and that he assumes responsibility► k me by his agents, servants or employees. Signed. Subdi- vision Value of Project $ INSPECTOR Contractor's 2 License No. BY 1 Amount of Permit $ f In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and •rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vii' pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner's Name and Address • 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 the work. • APPLICATION FOR BUILDING PERMIT • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT J i • Registered Architect and /or Engineer 7 Name and address of licensed contractor Location and legal description of lot to be buil on: Lot ` f wilf— t 9 Block �} Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all plans and specificatio Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors), state exterior colors (submit samples) • .r, and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ! .r1 Estimated Total cost of improvements S _ Amount of Permit S Zone cubage required Min rub- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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. 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 appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing aprication, and that he did sign the same. and that all facts therein by him stated are true. Date Date 19 No /. Street - Notary Public, State of Florida 6�© n may be sent to ___ • Permit No. C Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmanship. Address Company Phone # S 65 For Inspector: /..;;.° Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 - Building Inspection Request Date 1 Time , Type Insp'n • Permit No. • Name e":_ --) 4.1 /37 /-) 9 Name & Date • Date 2"1 " 9 ff Job Address Owner/Lessee / Tenant Rv 01 .74 LT 13 £ l le ag ature of owner and/or / /ei President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 7/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE moo ,k E 91 ST Tax Folio //- 3ao6 - O/ v -35iG v3 Legal Description Historically Designated: Yes No Master Permit # Owner's Address 1 P-0 0 N e 9 6 fi► ST Phone ( . 7S ) T2 20 Contracting Co. S .P P/' E Address Qualifier J L6..zT L3 'E I) b S4 n p State # Municipal # Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle oneQUILDIN3 ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION I?2 I #C8 bus DE. Dow:1 Cpr3�Ni G 43 j ,,.r /NJ /0E 0 u7 J • a a o,0 > m e S r . . Q . u c Coo, c o t . c 7 Z D z c o s A R o , r y o 1604 G . / a ' Co.4 11"4, Square Ft. 0 Estimated Cost (value) 4 4 00 0 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. 4 6/./../) St ature of Contractor or Owner- Builder Notary as to Contractor or Owner - Builder My Commission Expires: 4 ej/ el/ Date Date RADON . s C.C.F. _ 7 NOTARY J BOND Q� TOTAL DUE 6J -5 U APPROVED: Zoning Building ) (5 Electrical Mechanical Plumbing Engineering � ^ _ | ' ' = 3. 72 ” 8 S C AL" 6 84 - 258 1813 _ I - 32 - - 234 F.. 8 37 j - a 32 1 '2, - Date Mortgagor APPROVED: ire PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address Legal Description /T 2 O y re' 717qiie,1 Owner / Lessee / Tenant / ��`� / di- - - - "- ",- Master Permit 4 ., g' Owner's Address i��/v 2 S Contracting Co. Address Qualifier SS# - - Phone State # Municipal # ^�- w- _- - - -- ,, _ Ins.Co. Architect /Engineer Bonding Company Address Permit Type(circle one): BUILDING E ECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGI WORK DESCRIPTION `�''� /� y Square Ft. Estimated Cost(value) 6 � � • 3 Tax Folic)/ J•U � / 4 Phone �J /• S?:, - 7, Address WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wil be done mpliance wi h all applicable laws regulating construction and zoning. Furthermore, aut _1ze tt :.ove d contractor to do the work stated. r, Signature-4f own and /or Condo P •sident Signature of Contractor or Owner- Builder D e:ifil4y le, j a- Date: ` / 4l Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: Pa,2oA e4 4 My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA MY COMM SSiON fiXPIRES 5x09/94 * ** * * :k * * * * * * ** * * Bonded thru Stembler -Adams & Sweet FEES: PERMIT RADON C.C.F. , �/ - �l . a i / NOTARY b TOTAL DUE 1 31 R Fire Zoning Building 5/019 Other Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE Paint Color Approval and Agreement O 1 0 t ' DATE: i -t(u PHONE• - .. -7 5`� - 5'''. . OWNER'S NAME: i.-1,A S N ADDRESS: i �i�e (a ,rt<) , ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** • ADDRESS OF SITE: -c.-4. CONTRACTOR & LICENSE (if applicable) PHONE: COMPANY NAME: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate th/e� color to be painted. - - ccc Walls Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Texiiti t Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other Wakil ofbcfx)i) C•4 , .nevi 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. I authorize the above -named contractor, if applicable, to ted. Furthe ' o e the paint colors will be as per the attached . f © / g � 3 . . i a Sign- '�eo 4 - er Date - Signature * * * * * * a * * * * Date * * * * * * * * * * ** * * ** **-4r********************************* 4r* * * * * * * * * * * ** * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 do the sam APPROVED: C'r --e /D t15 Building Official Date BENJAMIN MOORE® COLORPREVIEW" AC A-c-- ESA u .6(c v. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Dat o) Time Type Insp'n Permit No. Name Address Company Phone # For Inspector / 2.2 / 1°3 —iaN ame & D Approve Correction Re- Insp'n Fee ❑ MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE, Generat( A/C Central, Tons Cooling Tower Heating A/C Wall/Win. Tons Dryer Vents, Number of Paint Bo Air Handler, Tons Ductwork, Cost of Piping, F Barbecue Fire Sprinkler System Process/I Bath Fan - Vented, # Fireplaces, Number of Pressure PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellan Bath Tub Drinking Fountain Miscellan Bidet Filter Replace Pool Pipit Cap - Fixture Fountain Pump an Cap - Water Gas - Appliance Pump, D( Cap - Sewer Gas - Natural Pump, Fii Catch Basin Gas - Propane Pump, Re Clothes Washer Gas Piping Pump, Re Dental Chair Grease Trap Pump, Sp Discharge Well Ice Maker Pump, Su Dishwasher Indirect Wastes Relay Rei Disposal Interceptor Roof Inlet Domestic Well Laundry Tray Septic Co} Drainfield, 4" Tile/Res. Lavatory Septic Tar Drains, Area Meter Set (Gas) Sewer Coi Drains, Floor Minimum Fee Shower Drains, French Miscellaneous Equipment Sink Page 3 INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE QTY. TYPE. QTY. 'I'YI'I: Service Repair Q'I 1. Minimum Fee A/C Central 1 -3 Ton A/C Central 4 -7 Ton A/C Central 8 -15 Ton A/C Central 16 -20 Ton A/C Central 20+ Ton A/C Window Air Conditioners Chiller Clear Violations Compactor Deep Freezer Demolition Dishwasher Dryer Fan Fire Pump Fixture - Fluorescent Fixture Light Flood Lights FPL - Load Central Garbage Disposal Generators, etc. Heat Recovery Low -volt, Burglar Low -volt, Fire Low -volt, Intercom/Teleph. Low -volt, Television QTY. TYPE. Outlet, Appliance Outlet, Oven Parking Plugmo: Posts Range/I Recepta Refrigez Refriger Renew - Repair ( Service, MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Buildin Inspection Request Date cal Time �/ Type Insp' n \ P c • ` Permit No. 2_069. I o 9 Outlet, "' Name Address Company C 4s L i # 3OS – — 4s L For Inspector: Approved Correction Re- Insp'n Fee PERMIT APPLICATION ( )_00 q 6A- • Name & Date RECEIVED AND REVIEWED BY: DATE: SECTION BY D TE / /a d Zoning ,V 4 Electrical Mechanical Plumbing Fire Public Works Structural Building Official ! I/Z,G Page 4 ' OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (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 ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ ' O ( sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ 0 ISSUING OFFICIAL REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 4S 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 PROPERTY OWNER ` 0411/1/ � cd r Name V ! V"l 1 l�i�.`. ' Address 2� V �� T pr— , Home Telephone eb 1 9 , T/ ._ '�o, ) J Bu Telephone b _ 7 /°' We "--(/ S 6' S---6'60 Fax /0 r - 73 gr q 2- r TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l 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 he 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. ob Address: 17,60 OJ G 9C t ! t cto4 3 /-? 7 Address Apt. City State Zip Folio Number escnption of Work Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property SqFeet Units Floors � Proposed Use of Property �C�J�I/� � of Work Bldg Value g Tenant Information Tax Assessed/Appraised Value 5 " 0 Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other. ARCHITECT Name License No. Address Telephone Fax PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT APPLICATION Master Permit No. Subsidiary Permit No. )1[ ' ' 12- ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IN'iPORTANT NOTICES 1. 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 ection 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosin:,1 .) . r. 7D Sign o Owner Signature of Contractor / Qualifier Prin Name Print Name Sworn to and subscribed before me this day of Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida SEAL: SEAL: PERMIT APPLICATION Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: 1V11L 1.1V1Y 011 1Lo V I LLAUE Paint Color Approval and Agreement V DATE: t 020 ( 6 2, C � ?� - �T - ‘ , C VOWNER'S NAME: j(S �(- �OSfe� -P� �r 1 PHONE: 1(7 --�1 1 ADDRESS: 0-00 96 • -******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: / u 0 /'✓LT t7 j /-- CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: . ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted.... Walls poi" 5pr, 1 cts x - r Y or- Ac 1- F scia 0 Dri • Cap/Drip Edge Cc/ So it D✓01 Ro f y/ c2 F •wer Bins ------- hutters Awnings Chimney Doors and door jams -- Garage Doors I P Al.uncis Railings Fences Decorative Metal u) All brick (simulated or regular) Stucco Banding Any other stucco features Accessory'Buildings , Other P-f ■C OWNER'S AFFIDAVIT: I certify that all the foregoin and that all work will be done in compliance with all ap cons cti n and zoning. I authorize the above -named c do e w • stated. Furthrmore , the paint colors will b sa .._�/ S' : nature o 0 * * * * * * * * * * * ** APPROVED: a( Building Offi dal Date ate Signature of C Iwi AC -31 * * * * * * * * * * * * * * * * * * * * * *' BENJAMIN MOORE® COLOR; i :_VIEW' WHEN PAINT_ . va7 749 a as aavaaa+a+ CALL FOR FINAL INSPECTION AC 4/23/01 Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2002 -2033 Printed: 11/26/2002 Applicant: LUIS VALERIO Owner: VALERIO LUIS JOB ADDRESS: 1200 NE 96 ST Contractor Local Phone: Parcel # 1132060143960 Contractor's Address: Legal Description: 5 53 42 MIAMI SHORES SEC 3 PB 10 - 37 LOTS 19 & 20 BLK 84 LOT SIZE Fees: Description Amount FEE2002 -6722 Building Permit Application Fee $60.00 FEE2002 -6723 CCF $0.60 FEE2002 -6724 Notary Fee $5.00 4 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 5/25/2003 Construction Value: $500.00 Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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: Signed: In consideration of the iss nce 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, s me .•r specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servan - • e , es. REG x`01 120202 0842 NC #01 003067 CASH $65.60 Page 1 of 1 (INSPECTOR) BY: (Contractor or Builder) BY: fem The Sunshine State UM** NUMBEIt 2041 -105-0 BIRTH DA1E SEX HST. REST ENDORSE 03 -25-61 M 5-06 Issue) -ExPREs 02-109 0346.06 DIPUCATE 01-24-02 ors Operation of a rnobf vehicle constitutes consent to any sobriety test required by lawv. fiff O LLtAAA-1,