615 NE 97 St (9)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
PERMIT N9 7407
❑ Work to be performed under this Permi
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
B1
Value of
Project $
DATE 19
Contractor's
License No.
Subdi-
vision
BY AUTHOR?tY
Amount of
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 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 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 as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
User ()
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑ Date
1 ❑ PE N? 10533
ROOFING ❑
Lot
❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
CONTRACTOR or BUILDER
Work to be performed under this Permit
B1
Contractor's
License No.
Subdi-
vision
Sq. Ft.
Value of I I AmouIIt of (-
Project $ ' " 11 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 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 respon-
sibility for work done by his agents, servants or employees.
Signed • f It. e. (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 responsibility for all work don{: by either, myself, my agent, servant or employee.
BY AUTHORITY
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 /v � , 1:'4 Owner's Name and Address__._ __ ' No. Street
Registered Architect and /or j. gineer
Name and address of licensed contractor _
Location and legal description of lot to be built on:
Lot__1.3� /� Block P/ Subdivision
Street and Number where work is to be done Subdivision__
Street
State work to be done and purpose of building (by floors)_____ ________ _._
New Building Remodeling Addition
To be constructed of Kind of foundation Roof Covering /
Estimated Total cost of improvements $ [ ' `tw' oD 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 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 . - site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcon , o work tt be . •rfo d 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 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 e true. _ , / , r
() Date � Read, Sworn to and Subscribed before me.
Permit No
Disapproved
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
BUILDING INSPECTION DEPARTMENT
to
Building Inspector
and for no other purpose.
Repairs No. of Stories
to me well known,
Notary Public, State of Florida
My Commission Expires
PLANNIN 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 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
PPLICATION 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 ° C r' /t
No 61 -- _ -_ Street WE __. Sr
Own:r's Name and Address_._ . __ __._ F QIikaigdS
Regluered Architect and /or Engineer
Name and address of licensed contractor_. Cii ON T - ao NW, Cf/ � WC . — 3C1 - N w 9/
Location and legal description of lot to be built on:
Lot. Block Subdivision
Street and Number where work is to be done o _ E'� NE '72 5r•
State work to be done and purpose of building (by floors). 'VFW / to F 0*) /kt2pl T /M/ 10 4 rJ
.. -_ -- and for no other purpose.
New Building Remodeling__ Addition V Repairs No. of Stories /
To be constructed of Kind of foun ation___. Roof Covering... /9S3ES7OS 4- /APR.
P
Estimated Total cost of improvements $ 3_f
_ VC) Amount of Permit $ �• 00 Pit/ NT.
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 fot said building. All notices with reference to the building and its construction may
be sent to - The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation ,Act. being Sec :ion 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such bcontracto work to . - perform • , . er :,st"
permit, as are licensed by Miami Shores Village.
Remarks .. _. ( Signed) _
STATE OF FLORIDA,
COUNTY OF DADE. d ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared ..._
Disapproved __
( Signed) IA) ( `
Building Insp; tor
Chem roan _
Member
Member .
Council Approved.
Notary Public, State of Florida
My Commission Expires__
LANNING BOARD__ __ . DATE
Member
Member
Member - --
_Date Disapproved .__..._
1= MAI
•
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 -s 3_3 _.. Date____.. to —17, G'" . Read, Sworn to and Subscribed before me.
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.
Date
Legal Description
Owner / Lessee /
Owner's Address
Contracting Co. I wree- CC)I3t4TY 1 Address 5O 1 s.w• ,b.VE, MI AN FL.
Qualifier 12., J, (FE_Cz_EZ SSA# 265 - 0/ - 0 40 / Phone S °> , - 7 9 6,40
State 1#CLCC.44%/N7 Municipal # Competency # Ins.Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one): BUILDING
WORK DESCRIPTION
Si ature
Date:
** * * *
FEES: PERMIT J�
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
M Commission Expires:
Job Address (O IS f4 .
Lb � i /3 ' u 5C-c- & T I
Tenant -) 1'�?O 6- VIiz, A
f s &) -. ri �T
- ro
Ft . t 5
Square _�` = Q
q I stimated CC• 3, 8.00
WARNING TO OWNER: YOU M RECORD A NOTTCEIMENCEMENT 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 zoni Furthermore, I
au ize the -•ove -named contractor to do the work stated.
•
er and /or Condo esident
No. � s to Owner and
RADON
Address
Address
Address
Sig
Date:
C.C.F. "' NOTARY
Tax olioil - 32 - OK - 1650
355 s
Phon 7 S 6494-
Master
ELECTRICAL PLUMBING MEC PAVI • e 'EN S GN
l
e
Owner- Builder
ry as to Co ''ractor.< Owner- Builder
My Commission Expires:
O 'FI IAL N
ELIZABETH .PERE2
* * * * NO'P* RY PUBIAC STATEbOF FLOR+IL*A
COMMISSION NO. COMM
MY C
. J .,. :. I0 . `.
P AU
Vt
Other
APPROVED: Fire
Zoning Building / l / Electrical
Mechanical Plumbing Engineering_
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF DADE:
TAX FOLIO NO. I/ 32- o & - o l - / SD
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with
Chapter 713, Florida Statutes. the following information is provided in this Notice of Commencement.
9 description property /�/7�l s)o2t✓s S &C 1 4 13 M/) /2/3
Legal descri lion of and street address: /
l 3 4 / y /32- / Zz ao .ovo x /
2. Description of improvement: 2e —1,—(101)
NOTICE OF COMMENCEMENT
ner(s) name and address: RAY H1€. . ,T/9 -/ /ay 6.th/ //21 f}- 4 OH"44
/ 6 s/foz65 t- . - 33/34 - 241-id
Interest in property:
Name and address of fee simple titleholder:
4. Contractors name and address: // 4 - CO cNTY /'OC AAA4 / ve,
5. Sure Pa ment bond required by owner from contractor, if any) r p= FLdRtDN. CC) ° tis
Name and address: °'° lip d °y ii
tY�( Y 4 Y Y) S1- :::s �t E 0.0E�d Q . om
0 6� E° ;o °Rico ®n , A 0 19 �
Amount of bond $ ®tc�� d °nd O¢`t ;j6l Sc° • ndCou la-1
6. Lender's name and address: my CL � R � ° � `
7. Persons within the State of Florida designated by Owner upon whom notices or other doc
by Section 713.13(1)(a)7., Florida Statutes.
Name and address:
8. In addition to himself „Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
S • ture of Ovine
Print Owners Name �/g //Zrj pla 6,41//4/
d bef • me his / i D
Sworn to and subsc fbe of
Y
/ C
o ae olf,TARY PUBLIC _ Of it
CoMhf.6 3}ON /i0, cOoteiy
Notary Public
41, - 2_4 es
Print Notary's a to
• iy Commission Expires:
rev
• ,,'
19
948025302 1994 JAN 18 12:19
nts may be served as provided
Prepared by: E
1a CAv 4)
Address: S'b i 7
rheFz- f ?2
tyke
S w A.se
33/4,r
BUILDING ❑
PLUMBING ELECTRICAL °❑ PERMIT
ROOFING �—
Owner of
Building
Architect
Contractor
or Builder
Legal Lot / i� 4 � 1
Description B
Address of 6/5' `� 7 5 Building CC f
This permit is granted to the contractor or builder named abov
tiop'herefor in strict compliance with all ordinances pertaining thereto
. pl'ans, drawings, statements or specifications that may have been s bmi
at any time if th a work is not done in compliance wi • such or
permit is granted is the understanding that the contra
regulations pertaining to the work covered hereby whet
sibility for work done by his agents, servants or e
■
Signed•
In consideration of the issuance to me of th
pertaining thereto and in strict conformity with the p
In accepting this permit i assume responsibility for all
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA /_
Date
N° 35556
Work to be performed under this Permi
gree to
awings, sta
done by eit
/ /-- 320 6 m-6 /7 -
Subdi-
vision
Sq Ft. r ,
Value of
Project $
ri plua-
and with the understanding that the work will be perform d in compliance with any
ed to a ' approved by the proper municipal authorities. T. is Permit may be revoked
ces or if t e plans are changed without authorization. A further condition upon which this
abo e assumes the responsibility for a thorough knowledge of the ordinances and
r drawings or in the statements or specifications and that he assumes respon-
to construct the building or to install the equipment or devic
BY
,9�
Contractor's
License No
II II Pe • o' a
•
SPECTOR) BY
erform he work covered hereunder in compliance with all ordinances and regulations
ments o specifications submitted to the proper authorities of Miami Shores Village.
er, myself, my agent, servant or employee.
AUTHORITY
•
•
• 1 •
• •
. -
— 40
• •
y • ,
„
0
•
, 01 .4,1*•••4
• • Altar'
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date a- ! "2 V Job Address /5 /14E. 9 7 * '=.51 Tax Folio j/ 3 0 d 01 q 1 Y.5
Historically Designated: Yes No
Master Permit # le )
61s YPhone a 7 S G
dress _?9/441€, 6 ? 74.
'Leeggal Description
Dwner/Lessee / Tenant
✓Owner's Address
Contracting Co.
fr‘alifier
1/S Ft. 7 -
FEES: PERMIT
APPROVED:
Zoning
Mechanical
13"')`) IDI
/ U c/
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one):
WORK DESCRIPTION
BUILDIN
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
cons tion and zoning. ennore, I authorize the above -named contractor to do the work stated.
v r 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.)
.A ° : =: S7\1EP2G0 :.
• °= MY CQ MISSION # CC 865151
gS; August • . 2003
ttf tk• idea Thm WprPu, n derwriters
ae of ownertt
—At
Notary as to Owner an. ' r ondo • esident
1 . 6 tt.44. 2.0
Date
My Commission Expires: My Commissi
MINE P. GORY
} }* MY COMMISSION # CC 865161
EXPIRES: August 22, 2003
I9ondad lhru Notary Pubiio Underwriters
Building
SS# 2—& - - 3757 hone •e) 7 6 - 6'//x'&
LECTRICAL PLUMBING MECHAL ROOFING PAVING FENCE SIGN
at/it 4 ,0919 6
Plumbing
Ltimated Cost (value 5 t
/2- oo
Signature of Contr , ctor or Owner - Builder Date
otary as to Contractor or
C.C.F. -' 60 NOTARY O BOND
o
Electrical
TOTAL DUE 0 6 d
Structural Engineer
Gds;: you Shores Mo9Bage, F
A
OWNER
ADDRESS
INSPECTION
TIME READY
PERMIT NO.
CONTRACTOR
TELEPHONE NO.
INSPECTOR
DATE
/b
f Ca_nr GOr'z Name:
ROOF CA T ;'GORE' -
❑ (LOW Slope ADDLv-ziOII)
0 (Nall-Ca Me) C (1 - rte) *
❑ (Asy aaivFacgass Shingles) 0 ( Mend RoankWood gl,les .t si, -s) 0 (Ctfrc)
^,7Pr.
v Vaepair t i M Tnr- ri t=
0 New Roof 0 Re-roofing 0 Recovering
Flax Roof Area (ft') ---- Sloped Roof Area (fr) '76' Taal (lid 7 M Pemic No.
Exosur. category (p ASCE 7-88): Bmildmg (' ifiction =gory (pc ASCr :-88 table Ix
Ft
Ft
8
1
1 1 f
Dedctppc 8 - - - - - -_ --
1 . {
ii ii , 1 ,
1 18 1, 1 1','
1' 1 1 1 { 1' , 1 r _ _
1 t 1 1
{ , 1 1:
1 ,
1 1 / 1 1
1 ; 1 .
I. 1 1 1 1, 1 1 ( 1 1,
'/ 1 1 1 1 1 1 t 1 f 1 f 1 l
kTTk(R'•e ANT / 1 1 1 1 1, 1
' 1 ' , ' ► ` , ' , ,
1 ' 1 1 1/ 1' 1 '{
1 1; 1 � 1� t � r �{
` t 1 1 1 1 `► r 1' 1 '
t 1 1 f 1 /
c / / 1 1 1 1 ' 1 1
�,pC 141RS,V ::.i', s:i. 1.:i
' ' 1 ' ' i ' ' _ , Fier 1 { / 1 1 / 1 . , 1 1 1 / 1 1
1 / 1 1 1 1 / 1, 1, 1 SY 4 rTVr; r 1 1 t 1 ► _-
Frei -d: /2 P simet : 6 Corm:
16 : ' , f 1 , 1 , i:i
{ ' , 8 1 ' ' 8
. 1 , . 1 •
{ 1 ; 1 1
I 8
1
DETAIL 1 Sc 2
•C c de: Morrr Ind Adbesive Tile
,ezi/do
ROOF HEIGHT AND DELAIL.S (Dr:w deans ss ssedea�
Job Address: - /57
pn -
7 97&
ROOF PAY
1
rdste Vim.'
UNIFORM ROOFR`IG PERMIT APPLICATION
- SLOPED SYSTEM DESCRIPT TON
DETAIL 3.
?ROCS No.
.A.ITACMEINM REQUIRED
1) rze Dit ory Ling Page
2) Dade Coimry Prod= Control
• Notice of Ac=p ac.---Cove Sheet
a) Saeyuc Sys= Des ipdon
b) Spec Syr. Limitaaoa
c) Geztetai T i.ninrnns
a) Applimble De_ ii Drawing
3) Nfitaic.1 PeratY Acvi e
4) Othe: Camoot xApprovais
:•
TILE CALCULATIONS
(Pmts!- x a. (Acodyasmic Multiplier): ) - Mr. = Mme: PCA:
(Pm=2: x X (Aetodyaxmic Muitiplic): ) - M.: = M PCA
(Pma-3 x a. (Aaodya=ic Multipiic): ) - iM.: = M PCA:
Page -2
APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner
with the required roofing permit, to provide the owner with this appendix and to explain to the owner the
content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following items should be addressed as part of the agreement between the owner and the contractor.
The owner's initial in the adjacent box indicates that the item has been explained.
£, 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part of the agreement between the owner and the contractor.
"1. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually
concealed prior to removing the existing roof system)
J, (-6 , 3. Common Roofs: Common roofs are those which have no visible delineation between
neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
i, C:2 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
J �. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and
may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and'may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
�.t;. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with Chapter 23 of the SFBC.
J ., • 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not
be reduced. It may be beneficial to consider additional venting which can result in extending the service
life of the roof.
ner's /Age
Signature
Signature
5104 APPENDIX "F"
Date Contractor's
Signature
0
BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA 1 �/ =�.t_; r , ;
Date r ' ' . / 19
PLUMBING ELECTRICAL
0 PERMIT
Contractor's
License No.
ROOFING
❑ Work to be performed under this Permit / ` `:' o r? 1 r 1 If"' J
Ow of
Bud ding r'`+ \ / 1 r 1
Architect
Contractor 7 r P �'
or Budder %,'v'n, t c A .f . 4/ A
Signed•
r
Permit: (
CCF:
Notary: — —
Subdi- ,
c; Legal 1 - � Lot i L/ II vision 1 r t 1'i r I Bond:
FYI !� p) 'r 1 1 j
Description i 1
I Bl• I� I Sq. Ft.: h j
L% Address of / Value of
Building J 1 - ; • 1 j (i -- } - y �, n �- Project $ s C7 l?
CI 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-
4 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 the proper municipal authorities. This Permit may be revoked
f 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 hown on th plans or drawings or in the statements or specifications and that he assumes respon-
' 7._—: --a sibility for work done by his agents, servants or employees. � ]j i
L.
Radon:
Amount of
Permit: � .) _ 6 0
(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 regulation%
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.
a /
CONTRACTO or BUILDER
BY
4 ; ?66„j ;700 t7 / ?ii iii!•i !
AUTHORITY