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1271 NE 97 St (6)MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pent* No.. i cl-c Date.......e. ..4../....7---.... — ----- 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 w rk. Owner's Name and Address Size Septic Tank__ Feet of Drain Tile / Nature of Water Supply: Ci —W Amount of Permit $ STATE OF FLORIDA, I so. COUNTY OF DADE. My Commission Expires (Signed) No. --r Repairs Registered Architect and/or miii Employing Plumber's Name 7j , q...) Location and Legal Description Lot. Bl3pfic ., Subdivision Street and Number where work is to be performed / X 9 .6 "' g 1 Street. State work to be performed and purpose of building (By Floors) _ _ New Building .. _ Remodeling__ .__ Addition. Street.— ...Type of Tank__ _Dist. Feet of Tank or Drain Field from wen Slz oage Pit. Capacity Gah..._. No. of Stories. Plum Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as mployer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple t, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by h 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclasowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he h 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. NOTE: A re-inspection fee of $1.00 will be made when mai se-inspection Is made.necessary by improper notice for Inspection, or faulty materials and/or workmanship. CLoarra BATH TUBS "1:1WICR . ' LAVA. TORIES SINKS SLOP SINKS LAUNDRY Tune URINALS CATCH BABIN FLOOR DRAIN _._. DRINK I NG FOUNT•NS TOTAL FIXTURES Corm. LIST CHICK .--,- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER Day WELL SPRKLn S SwIwo POOL CONTR. LIST CHECK 1 - 1'.- I . / ,...-.....-......_ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pent* No.. i cl-c Date.......e. ..4../....7---.... — ----- 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 w rk. Owner's Name and Address Size Septic Tank__ Feet of Drain Tile / Nature of Water Supply: Ci —W Amount of Permit $ STATE OF FLORIDA, I so. COUNTY OF DADE. My Commission Expires (Signed) No. --r Repairs Registered Architect and/or miii Employing Plumber's Name 7j , q...) Location and Legal Description Lot. Bl3pfic ., Subdivision Street and Number where work is to be performed / X 9 .6 "' g 1 Street. State work to be performed and purpose of building (By Floors) _ _ New Building .. _ Remodeling__ .__ Addition. Street.— ...Type of Tank__ _Dist. Feet of Tank or Drain Field from wen Slz oage Pit. Capacity Gah..._. No. of Stories. Plum Inspecto The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as mployer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supple t, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by h 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclasowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he h 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. NOTE: A re-inspection fee of $1.00 will be made when mai se-inspection Is made.necessary by improper notice for Inspection, or faulty materials and/or workmanship. Permit No /4 1 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOE PLUMBING PER IT Date__ - -..__ 6 - 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 work. Owner's Name and Address TAB -- ..... No. ___.Q d - - -- - - ------ ---- - - - - - -_ Sheet. g � � _.... Registered Architect and /or Engineer__ -r I&gg___S a .M.D ------- �-_ - - -_-- Employing Plumber's Name_ 11__ _ea�a C- 1 ' 13 04 teTT - - - - -- No. -_Z- l He s treet_ 1 414 "0 Location and Legal Description Lot_ Block Street and Number where work is to be performed —No # I e #19- Street_ State work to be performed and purpose of building (By Floors) New Building ____ Remodeling __- . --____ Addition Repairs Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. (Signed)_ (Si Subdivision No. of Stories. Sire Septic Tank __ -. -- Type of Tank Feat of Drain Til® _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ Size of Soakage Pit Capacity Gals _ Plumbing Inspector. 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 notice as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo under this perm 'j as are licensed by Miami Shores Village. 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 application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOWNS BATH TUBS SHOWERS LAVA- TORIES SINK$ SLOP SINK$ LAUNDRY TUB& URINAL$ CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FI%TURe$ CONTR. LINT Y i CHQCK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IN '0 POOL CONTW. LIOT / -- -__ CHaCK Permit No /4 1 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOE PLUMBING PER IT Date__ - -..__ 6 - 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 work. Owner's Name and Address TAB -- ..... No. ___.Q d - - -- - - ------ ---- - - - - - -_ Sheet. g � � _.... Registered Architect and /or Engineer__ -r I&gg___S a .M.D ------- �-_ - - -_-- Employing Plumber's Name_ 11__ _ea�a C- 1 ' 13 04 teTT - - - - -- No. -_Z- l He s treet_ 1 414 "0 Location and Legal Description Lot_ Block Street and Number where work is to be performed —No # I e #19- Street_ State work to be performed and purpose of building (By Floors) New Building ____ Remodeling __- . --____ Addition Repairs Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. (Signed)_ (Si Subdivision No. of Stories. Sire Septic Tank __ -. -- Type of Tank Feat of Drain Til® _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _ Size of Soakage Pit Capacity Gals _ Plumbing Inspector. 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 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 notice as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo under this perm 'j as are licensed by Miami Shores Village. 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 application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. i l"• Date Permit No. � _ � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. o Owner's Name and Address 7l_ �',1 �' � -^- ,<'...; No 2 1/ . ' ..____ 11 / ‘�' ' Registered Architect and /or Engineer % ________ 0 Employing Plumber's Name // .r ,f' -'' _ No ,}� ) T. //j Location and Legal Description} .ot � __ � _________ Block__ _ ______________ _- ______ Su vision__- L' -_ -------4 Street and Number where work is to be performed —No __.___ i__ _A__ Street_ State work to be performed and purpose of building (By Floors)_..._ k344111A 9 New Building _- -. -_ -. Remodeling Addition .________- _____- _______.. Repairs No. of Stories Nature of Water Suppl Well a _ Amount of Permit $ My Commission Expires MIAMI SNORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile / Dist. Feet of Tank or Drain Field from WeIL O Size of Soakage Pit ( Signed nspe or. (Signed)._ The undersigned applicant for this building it does-hereby_certf� that I - stands and accepts his obligations as an employ .- of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme nd has corn plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to + e 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 re required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, arc licensed by Miami Shores Village. ,L t>.ee t �� •et r P um 'in Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS IN SLOP SINKS LAUNDRY TUBE INALS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURE! CON TR. '1 SS ^ ' r - 15" / n _ CHECK ' 5 ' Q I 60 SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP CAT DEEP WELL. SPRKLR. SYSTEM SWIM' G POOL 5 CONTR. 0 /r 4 CHECK ! 6 0 ® / 00 i l"• Date Permit No. � _ � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei 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 Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. o Owner's Name and Address 7l_ �',1 �' � -^- ,<'...; No 2 1/ . ' ..____ 11 / ‘�' ' Registered Architect and /or Engineer % ________ 0 Employing Plumber's Name // .r ,f' -'' _ No ,}� ) T. //j Location and Legal Description} .ot � __ � _________ Block__ _ ______________ _- ______ Su vision__- L' -_ -------4 Street and Number where work is to be performed —No __.___ i__ _A__ Street_ State work to be performed and purpose of building (By Floors)_..._ k344111A 9 New Building _- -. -_ -. Remodeling Addition .________- _____- _______.. Repairs No. of Stories Nature of Water Suppl Well a _ Amount of Permit $ My Commission Expires MIAMI SNORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Size Septic Tank Type of Tank_ _ Capacity Gals Feet of Drain Tile / Dist. Feet of Tank or Drain Field from WeIL O Size of Soakage Pit ( Signed nspe or. (Signed)._ The undersigned applicant for this building it does-hereby_certf� that I - stands and accepts his obligations as an employ .- of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppleme nd has corn plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to + e 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 re required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, arc licensed by Miami Shores Village. ,L t>.ee t �� •et r P um 'in Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare 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 fac therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or Ltd materials and /or workmanship. er ? #° Permit No 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 srdinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied • i� • h herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ _______ . New .Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT T - ©°- - - Date - / -_ -- _ Block Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) ._ _____ Remodeling_______ _________ Addition__ _____._.. Repairs__ ...... No. of Stories Size Septic Tank - - ------------------------ - - - - -- __._Type of Tank__ Feet of Drain ------ ------- Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _.____________ -__ _ _____Size of Soakage Pit (Signed)— Capacity Gals Street_ _-__._.__ Subdivision Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' .f ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P .nn.. ent Supplement, an ► has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract s employed by him in th work to be performed under this permit; and will post or cause to be posted for inspection on the site of the ws . such public notice or otices as are required by the Act. The undersigned agrees to employ only such sub - contractors, f' work befpeAofined un• permit, as are licensed by Miami Shores Village. 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 application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida er Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made n- • ssery by improper notice for inspection, or faulty materials and /or worlm►anship. CLOSETS BATH T UBS SHOWERS LAVA- TORIES INK SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINK! DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST - CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. IST LIST CHECK - `- er ? #° Permit No 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 srdinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied • i� • h herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wo Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot_ _______ . New .Building Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT T - ©°- - - Date - / -_ -- _ Block Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) ._ _____ Remodeling_______ _________ Addition__ _____._.. Repairs__ ...... No. of Stories Size Septic Tank - - ------------------------ - - - - -- __._Type of Tank__ Feet of Drain ------ ------- Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well._____ _.____________ -__ _ _____Size of Soakage Pit (Signed)— Capacity Gals Street_ _-__._.__ Subdivision Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obi' .f ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P .nn.. ent Supplement, an ► has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contract s employed by him in th work to be performed under this permit; and will post or cause to be posted for inspection on the site of the ws . such public notice or otices as are required by the Act. The undersigned agrees to employ only such sub - contractors, f' work befpeAofined un• permit, as are licensed by Miami Shores Village. 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 application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida er Plumber. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made n- • ssery by improper notice for inspection, or faulty materials and /or worlm►anship. BUILDING ❑ ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 11 MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 12736 ❑ Work to be , performed under this Permit. P f 1 CONTRACTOR OR BUILDER .+ •`,K 111►,' Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ z'! • 1 ,p This permit is granted to the contractor or builder nsmelabove to cortstruct t'ae 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 toand 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 specificatien& that he assumes responsibility fqt work done by his agents, servants or employees. Signed• - r BY &SPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with �y ordinances and > pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut ltetlfi s of Miami Sboy In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder 1 PERMIT N° 9796 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Owner of Building DATE 195 Contractor's License No Subdi- Legal Lot Bl. vision Description Address of /`f Value of Amt. of / - Building / Project $ Permit $ This permit is granted to the contractor or builder named above tc 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building B1 N9 4940 DATE ° 19 Contractor's License No. Work to be performed under this Permit Subdi- vision Address of Value of - I Amount of Building - - Project $ I 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by ':he 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. 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT Date Job ddress)2L 2d A(, c7T 7 Legal Description Owner. Owner's Addres Contracting Co.. Address Qualifier A'ft State # Municipal ifr Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Xio i /69./ Square Ft. Estimated Cost(value) ®W 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: Notar / Lessee / Tenan as to Owner PERMIT APPLICATION FOR MIAMI SHORES VILLAGE tzig n, , ,1t/$tr and /or Condo President Master Permit # ��cC SS# Phone Phone 154 -24Z8 Signature of Contractor or Owner - Builder Date: Notary as to Contractor or Owner - Builder My Commission Expires: My Commission Expires: NOTARY PUBLIC, STATE OF FLORIDA. MY COMMISSION EXPIRES: Oct. 27, 1995. BONDED THRU NOTARY PUBLIC UNDIRWRTTPRS. ** * * * * * * * * * * * * * * * ** FEES: PERMIT ` j of O® RADON C.C.F. / . 47 NOTARY TOTAL DUE 3/745:9 APPROVED: Fire Other Zoning Building yr Electrical Mechanical Plumbing_3 1/' V�� 0 ngineering