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1201 NE 96 Sto 7 PERMIT APPLICATION FOR MIA Date /O& / Job Address > o w At. 9 ( S Tax F Legal Description 47 / 7 /� ufil /4 -- 16 Histori / Tenant )( g / fljci Owner's Address Contracting Co. Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Permit Type (circle one) BUILDING Address ELECTRICAL PLUMBING MECHANICAL ROOFING PANG FENCE SIGN WORK DESCRIPTION iO i>4 7 Aso 7` tvA a ' /u4 1/e. . 7 2,IT #9141-e-- C m j a 4_ 4d tri m % eQ (,es t Fase Rocrrd\ Square Ft. Estimated Cost (value) ) ' � ` atia. 0 6 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. Signature of owner and/or Condo President Date FEES: PERMIT RADON APPROVED: Zoning Building Mechanical Plumbing C.C.F. exre c l ure of Contractor o Signature C Notary as to Owner and/or Condo President Date N otary as to Contract My Commission Expires: My C� s 1i � L NOTARY Electrical Owner- Builder Structural Engineer BOND TOTAL DUE - / T TA A R p Y s G CI cOuYSSioN NUIIDEN –0 * CC797277 Q MY DEC. 17,2002 OFFS 4 /d/779 Date 1 f/7 Date _Ml� -1M1 SHORESVILLAGE Paint Color Approval and Agreement - -DATE: o Li 2 Z- O Z O WNER' S NA : ► tv Q. M A i i 6 A P HONE O S = 6S.S'1- -- ADDRESS: f?D l t0G 4 6 4 k;i14h4 S � ec - — o� QS1-Z -�? Z-4 ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** ADDRESS OF SITE: j Q ( f■ 96 S-} f "IAA -K∎ Sku e S 1 CONTRACTOR & LICENSE (if applicable) C. 1p- C„ 0 S 7 ?J 6 I COMPANY NAME: h i t,i k o o . PHONE: 3 oS Q _966-6 ********************************** * * * * * * * * * * * * * * * * * * * * * * * *; * * * * ** All Elements on the site must be listed an Walls Barr -QY\ e1,0.;v1 2 i ■1-6 Fascia S-\ov -Q hntbo( 7 t \ Drip Cap/Drip Edge Soffit ova ha, 2_01 - Roof wW,Ve Flower- Bins b at rCan' eke20.1 2. 11 -6 Shutters P 1 1B Awnings N114 Chimney tin Doors and door jams -f aoS -��� 2t i d1/40 Garage Doors A 4 a k ii 1 t -' o' 2t 0 o Railings A.-6ko,S 214v -4O Fences . Ina kCts plAivl 2\ -6D Decorative Metal d-os 1-a Q 2111 -4 0 All brick (simulated or regular) Q NIA Stucco Banding N 1 tA- Any other stucco- features Accessory Buildings Other Lf do 2.___ gnature o 'wner Date Signa APPROVED: 1 (YO a -- Building Offi ial Date ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 2111 El IJ 0 H H BENJAMIN MOIORE@ 2111 COLORPREVIEW'" OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all . • i ; .le 1: ws regulating construction and zoning. I authorize the above -n . ed c` • cto , if applicable, t _ do the_work stated. Furthermore the paint col • swill .: /aspe the attac s m�� ontractor pate * * * * * * * * * * * *i * * * * * * * ** WHEN PAINS ING IS FINISHED, CALL FOR FINAL INSPECTION. 4/23/01 stone harbor ELECTRICAL TYPE. Minimum Fee QTY. TYPE Dryer QTY. Tl'PE Outlet, Appliance Q•fV. TY Service Repair QTY. A/C Central 1 -3 Ton Paint Booth Fan Air Handler, Tons Outlet, Wall Piping, Flammable Liquid Service, Temporary Barbecue A/C Central 4 -7 Ton Process/Pressure Piping Fire Pump Bath Fan - Vent'- Fireplaces, Number of Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven ... ) A/C Central 16-20 Ton Fixture Light Parking Lot Li Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Pluto : as trip Subfeeds, No. of Amps A/C Window FPL - Load Central ' osts Swim; Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim! Pool, Residential Chiller Generator Receptacles Switchboards Dishwasher Clear Violations Indirect Wastes H ecovery Relay Repair Refrigerator, Comm. (p/PH) Vacuum Pump TemplServ., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp; for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Drainfield, 4" Tile/Res. Demolitio Low -volt, Intercom/Teleph. Repair Circuits Drains, Area Dishwasher Low -volt, Television Service, Number of Amps Drains, Floor MECHANICAL TVPP: Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE, • or Q":. ". Tyr:: QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower _ Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Ve mber of Paint Booth Ventilation, Cost Air Handler, Tons work, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue � Fire Sprinkler System Process/Pressure Piping Filter Replace Bath Fan - Vent'- Fireplaces, Number of Pressure Vessel PLUMBING 'rm.: A/C Condensate QTY. . . Drains, Roof Q . t .,. .t.YI,E Miscellaneous Fixture ()Ty. .,.,.t,,;, Soak Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs SolarlWater Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Cap - Sewer Gas - Appliance Gas - Natural Pump, Domestic Pump, Fire . Temporary Toilet Catch Basin Gas - Propane ' o p, Re- circulate Temporary Water Closet Clothes Washer Gas Piping ...�' Pump, Replace - Pool Urinal Dental Chair G a Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump a Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE 0- d/G7 -2- Zoning / Electrical Mechanical Plumbing Fire Public Works Structural 466 r Building Official j ir f�� 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.) $ 1 / D Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES • $ $ (sq.ft. = x/1000 x 0.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ � I () ISSUING OFFICIAL 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 Page 2 1MPO RTAN'l' 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.mJ, 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 on 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 o instruction Lien Law and Choosing a Contractor. STA 'F FLORIDA,. IJNTY OF MIAMI -DADE Pnn 'ame Sworn to and subscribed before me this gnature o SEAL: Owner Personally known day of Notary Public - State of Florida .,0 P it DEAN R. MADIGAN 'COMMISSION # DD 73672 EXPI RFS NOV.20 2005 BONDED THRO OF 1%. ADVANTAGE NOTARY w OR, Produced Identification Type of Identification Produced: Signature of Contrac SEAL: Personally known 3 • PERMIT APPLICATION 4._ t IGAN ' c ,a COMMISSION # DD 73672 7 ?i�y . ... »r: ; .............. STATE OF FL • • IDA, t .�11 +�i F Print Name and subscribed before me this Type of Identification Produced: MI ADE day of Produced Identification CONTRACTOR New Construction Name Name d (– ., /� r VTO License No. (N._ Q 2, i 6 1 S b Address 1 o g S7 V - .s C nay N: P"\\ f\ PA k .) .) 6 ( "It) Telephone� .0 910 ci � JJ "1 Fax r� �,� fa t 1 0 '(4 Qualifier Name 0 � fl c , n D , PROPERTY OWNER New Construction Enclosure Name d (– ., /� r VTO �^ p \S /NJ Address t . Z01 • t c r, t Nrv.k. S S b (->T ' Home Telephone � v � 1 7 - 6 S 1 Business Telephone - Shell Only Foundation Only Fax Add'l Attachment Other 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 be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted 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 Address Apt. Folio Number Description of Work C Y - eq4 ®e- Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Un s Floors Proposed Use of Property Value of Work !� ,%�l © Bldg Value Tenant Information PERMIT TYPE ( ✓) / Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. . 02 • ss'o' 5 City State Tax Assessed/Appraised Value PERMIT APPLICATION Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Time Type Insp'n17 Permit Name Address Company Phone # For Inspector: Approved Correction Re-Insp'n Fee 0.20 Nam T O A T H E ORDER OF MIAMI KOOL, INC. 10980 BISCAYNE BLVD. MIAMI, FL 33161 305 -940 -9666 5-)d- bvx,Q r Wlt S/Vol- U - DATE Os/0 /9 AMOUNT 1/4 e 11 ':06300004 ?': 005480 3 055" Bank of America ACH R!T 063100277 9663 63 -4/630 Fl 1375 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/29/2002 Applicant: DEAN MADIGAN Owner: MADIGAN DEAN JOB ADDRESS: 1201 NE 96 ST Contractor MIAMI KOOL INC Local Phone: 305 - 940 - 9666 Parcel # 1132060143830 Building Permit Permit Number: BP2002 -825 Contractor's Address: 2331 NW 39 TERRACE Legal Description: 5 6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 17 & W1/2 LOT 16 BLK 83 LOT Fees: Description Amount FEE2002 - 2396 Building Permit Application Fee $60.00 FEE2002 -2397 CCF $1.80 Total Fees: $61.80 Total Fees: $61.80 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/23/2002 Construction Value: $2,380.00 Work: EXTERIOR PAINTING AS PER AGREEMENT Page 1 of 1 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 - fora- thorough - knowledge of -the ordinances and regulations pertaining to work covered hereby whether shown o 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: / — / (INSPECTOR) BY: 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: PERMIT APPLICATION FOR MUNICIPALITIES OF (OWNER TO RETAIN COPY) Job Address /,A Legal Description Tenant ` 7 Owner / Lessee / Te - Ar Tax Folio% Master Perm' Owner's Address J 9/ A/a - 9,‘ Contracting Co. CC Address Qualifier SS# - - phone State# 7 2 2.�?/JJ/3 Architect /Engineer Bonding Company Mortgagor Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION kl 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 YOURIPROPERTY (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, B— authorize the above -named contractor to do the work stated. Si wner nature of 0 ner and /or Condo President Date: Not � y as to Owner and /or Condo President My mmission Expires: * * * * PERMIT FEE: Ar 6. APPROVED: Zoning Mechanical * Competency # phone Ins. Co . House m &til s/ a WAi T * * Fire Plumbing Estimated Cost 3d .e<t Signature of Contractor Date: Other Building )/ 9 / Electrical Engineering DADE COUNTY f„ a1 /y iege t # :/ t �a/ 25 /6�2 or Owner - Builder Notary as to Contractor or Owner - Builder My Commission Expires: * * * * * * * ;UILDING LECTRICAL 'LUMBING GOOFING )wner of ; uilding architect :ontractor >r Builder .egal )escription ddress of wilding ❑ PERMIT N? 6515 E 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 >erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans :rawings, statements or specifications that may have been submitted 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 ordinances or if the plans are changed without authorization. A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a thgrfugh kno ledge of the ordinances and regulations >ertaining to the work covered hereby whether shown on the plans or drawings or irythe statements or sp ifications an at he assumes responsibility for work one by his agents, servants or employees. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Signed. Work to be performed under this Permit - r Subdi- vision Value of Project $ DATE . Contractor's t License No. -> Amount of Permit $ INSPECTOR 195 BY AUTHORITY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and >ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• opting this permit _I assume responsibility for all work done by either, myself, my agent, servant or employee. HUILDING '-:LECTRICAL !PLUMBING GOOFING ❑ ❑ o ❑ Owner of Huilding ° ti architect Contractor Dr Builder Legal Lot )escription � Bl Address of 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 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 cr in the >3 or specification and that �,ie assumes responsibility for work .7...... by his ........t .. ............t.. or employees. ! ' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6519 Signed. Work to be performed under this Permit Y Subdi- vision Value of Project INSPECTOR $ DATE 1 ? Contractor's License No. Amount of BY. ' BY AUTHORITY 1957 Permit $ In consideration of the issuance to me of this permit I agree to perform the work covered hefeunder 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 Sliores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 6 e: MIAMI SHORES VILLAGE 0 BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date ((I I O 3 Time Type Insp'n "T t v.OL Roo 7- Permit No. 8 P 0 3 -/ 0 3 0 flQat- Address ess 17.01 k[5 % 3T Company Phone # 5 0 5 - 7S i - 03 8 For Inspector: � ' j < <' I '{' p'J Name & Date Approved Correction Re- Insp'n Fee X MIAMI H R ES VIELAGE BUILDING EPARTMENT 305- 795 -2204 Building Inspection Request Date 11 (I l U '2 -- ) Time Type Insp'n \ CA- ROO F Permit No. 6 V 0 3-/ 0 -30 Name 1 \ PC( Approved Correction Re- Insp'n Fee Address 17 O 1 k(C Wn CT Company 1 } Phone # . j D 5 7 / = 03 a - For Inspector: bp 1 111H 1 615 Name & Date X MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request For Inspectoo)) I Approved / Correction Re- Insp'n Fee Date ) ' j Time Type Insp' Permit No. 03 " ) ) 0 3 0 Name I'v__AA-. Address l 0 ( C4 Company Phone # 3 ) ` o 3 12 Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Da) � �J --) Time Type Insp'1i/1 �t!\ r d ) r /.� Permit No. !' 0 3_, ) 0 1 D Name r \ P� e � AA Address I 0 _ �� v Company r d 0i )-Ic t ? Phone # /) f — /- }) D i For Inspecto7 / ` ''' J3 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 10 Time Type Insp'n 1 V IL ROO Permit No. € PO -- 1030 Name N o fJ�/VL- Address 1201 v.L6 Company �E� 0 Phone# 305-15 I —038 For Inspector: 3 f 1((03 Name & Date Approved ❑ Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE - BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1O1 1 Time Type Insp'n `t' t 1A0- Roo Permit No. 6 Po 13 3 V `\ Name u o .flL_4A Address 1 701 ME 9(0 67 • ( Company )Oe '?l ? 'U Phone # J OS ` - 7 5 -038 For Inspector: e P I S 1 O3 Name & Date Approved ❑ Correction Re- Insp'n Fee ❑