PAINTBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE '' I d, 1944
Contractor's 1
License No.
PERMIT N9
4588
Work to be performed under this Permit
Legal Lot Bl.
Description
Building of ! ," q y L / I N r+6 Value of Amt. t of
Building � /�/ j� j"'/` Project i Permit
This permit is granted td the contractor or builder named above to construct the building or to install the equipment or device describe n the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drWings, 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 contrattor..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 o r irythe or specifications and that he assn 8s respon-
sibility for work done by his agents, servants or employees. ,��`r
Signed.
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, his permit as ii6 responsibility for all work done by either myself, my agent, servant or employee.
te • +--
CONTRACTO1 OR BUILDER
BY
INSPECTOR
By
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE
4588
Wdrk to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
This permit is granted to the contractor or builder named above to construct the liuildineor to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, rawings, 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 budder named above assumes the responsibility for a thorough knowledge of Ile ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawi s or e statements or specifications and that he as respon-
sibility for work done by his agents, servants or employees. £j �,y��./
Signed. By •� 7 —/ ti
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with j1 rdinances and e ons
pertaining thereto and in strict ormity with the plans, drawings, statements or specifications submitted to the proper autho of Miami Sho s ge.
In accepting this permjt Dime re onsibility fir all work done by either myself, my agent, servant or employee.
D /� Value of
1 y �J j /M �� Project
CONTRACT OR• OR BUILDER
Subdi-
vision
BY
Contractor's , ' �'G7,.S
License No. r
Amt. of
Permit
.0 741
• 19
AUTHORITY
Qualifier
•
1
() 9774
-- 7''
State# Competency #
Architect /Engineer 404
Bonding Company A
//4
Mortgagor /l/ /P4
H
-t# ifof
SS#
Address
Address
Address
phone
Ins. Co .
IF DADE COUNTY
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION )744/x/7 - /A. , 5" /% S e._
' / = p0
Square Ft. Estimated Cost
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. 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.
4V.L.1 0 Signature of Owner and /or Con President Signature of Contractor or Owner - Builder
Date: Date:
(714 a /p,it C./�6the
No ry is t o Owner aafdIRMICMAWC, VARIO®fdMIDA Notary as to Contractor or Owner - Builder
My Commission Expiry COMMISSION EXPIRES APRIL 16. 1992 My Commission Expires:
* * * *ONDED TNR*STEMBLER- Aa1MIS & SWEE1* * * * * * * *
PERMIT FEE: APPROVED:
Fire t �%�
1 Zoning Buildin r /)) / ` Electrical
CC If/) Mechanical Plumbing Engineering
cry ,4oG
Other