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558 NE 96 StAMI SHORES VILLAGE BUILDING DEPARTMENT ' 305- 795 -2204 Building Inspection Request Date Type Insp'n F Permit No. LO S — Z ( Z Name 1 T tVi d K i , ) Address Company T t ) 7E56- L5c 4 Phone # Inspection Date --1 24 ! 0 � Approved Correction Re- Insp'n Fee ❑ r $1. ANTI Ho% VILLAIL 113 BUILDING DEPARTMENT s cues 305- 795 -2204 Building Inspection Request Date 8/ Type Insp'n I ICS 1 ELID3 29 Permit No. Name Address Phone # Approved Correction Re- Insp'n Fee 556 kiE 9'c _s Company nC_ 1 1 Yn . ( 305 ) - 158- 5 Inspection Date e/ 24 / ©5 r REC o Miami Shores Village ' Building Department Number of: Bays__ - Type of Work: ❑ Describe Work: BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Name Contractor's Address City Qualifier Architect/Engineer's Name (if applicable) Architect/Engineer's Address____ $ Value of Work For this Permit tion Permit No. )/ 3 7 Master Permit No. Permit Type (circle): Building Electrical : umbing Mechanical Roofing �_ JD � R>Cf,E/� one # aDs 7S(5 Owner's Name (Fee Simple Titleholder) . ,L ' �_ S 00 0 Owner's Address Tenant/Lessee Name Zip �) -� City i ,1 ! i -4 / State ��-- Phone # { Sr- the work is being done) _ •J 8 4'E 9C, Sr » ' ' ' Job Address (where th F7 / 36 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO State Stories ❑Alteration Families ❑New Phone # Zip Bedrooms * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $_ Education/Training Fee $ Code Enforcement $ Bond $ Now w Due $ Minus Plans Check Fee $ Total Fee Permit Fee $ Notary $ Tech $ Scanning $ Struct. $ - 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Baths /Replace ❑ Demolition Radon $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding S2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Owner or Agent The foregoing instrument was acknowledged before me this day of 20 b —, Y who is personally known to me or who has produced As identification and who did take an oath. Zip Signature Contractor The foregoing instrument was acknowledged before me this day of 20 b Y who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Conunission Expires: My Commission Expires: (Certificate of Competency Holder) Certificate of Competency No. ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY �i�- �"`�.�'Plans Examiner State Certificate or Registration No. Chc 10/02/03 Engineer Zoning ,‘) Permit No Owner's Name and Address Registered Architect and /or Engine MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7° 7 Date / < m RV 0 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. Employing Electrician's Name. ct a No .. e 1 Street.... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � Street.... .. /.. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I ss. (Signed) No ® Street. G . .,:e.....1Z14 °X Master Electrician. 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, and 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1.8 HP TRANS. RADIO TOTAL CONTR. LIST Q ,� !! S. 1 S `� CHECK ,‘) Permit No Owner's Name and Address Registered Architect and /or Engine MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 7° 7 Date / < m RV 0 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. Employing Electrician's Name. ct a No .. e 1 Street.... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � Street.... .. /.. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to licensed by Miami Shores Village. STATE OF FLORIDA, l COUNTY OF DADE. I ss. (Signed) No ® Street. G . .,:e.....1Z14 °X Master Electrician. 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, and 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. Permit No 7' 7 4 Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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, whet r 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 Registered Architect and /or Engine Employing Electrician's Name.... Location and Legal Description Lot Block-. Subdivision 1►f � ��// l v Street and Number where work is to be performed —No ' Y Street.. 1/ [° .? 71 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed) ® No J Street.i 4 J Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Date Street CCC �� ff (Signed) Master Electrician. Electrical Inspec or. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi.'•bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- .ntractors 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 bperformed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, l v COUNTY OF DADE. I 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, and 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. SWITCH OUTLETS LIGHT OUTLETS PLUG RCCE•P'T's FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACC HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP -- /��'- MOTORS 1•S HP NEON TRANS. RADIO TOTAL CONTR. LIST /�/ A ✓ / / //, ( � �.��j , A CHECK Permit No 7' 7 4 Amount of Permit $ APPLICATION FOR ELECTRICAL PERMIT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 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, whet r 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 Registered Architect and /or Engine Employing Electrician's Name.... Location and Legal Description Lot Block-. Subdivision 1►f � ��// l v Street and Number where work is to be performed —No ' Y Street.. 1/ [° .? 71 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories (Signed) ® No J Street.i 4 J Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Date Street CCC �� ff (Signed) Master Electrician. Electrical Inspec or. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi.'•bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- .ntractors 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 bperformed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, l v COUNTY OF DADE. I 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, and 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. BUILDING ELECTRICAL PLUMBING Owner of Building_ Architect Contractor '~ or Builder „e" Legal Lot Description. Address of Building Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ;! Contractor's License No PERMIT N° 9881 r1; 81. Subdi- vision Value of Project $ BY Amt. 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plane, be revoked at any 'ch this permit is latione or work drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may time if he work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon .._ granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and _ pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility done b his agents, servants or employees. F y " Signed INSPECTOR v lin conside tion of the issuance to me of this permit I agree to er orm the work covered hereunder in compliance with .till dinamicee and regulations pertaining there ' and 114 strict conformity with the plans, drawings, sta vents or specifications submitted to the proper author4ti of Miami Shores Village. In a ce . ' t s permit I assume responsiypr all work done l iher, myself, my agent t or employee. AUTHORITY 7 195 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No a? __- /__ - - - - -- Date Application is hereby made for the approval of the detailed statement o f 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 No Street Registered Architect and /or Engineer f Employing Electrician's Name 7- : r ` ' • No Street / / ' Location and Legal Description Lot . Block Subdivision t A Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building — Remopelin r r Addition,,, >r Repairs • No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit_ Tubing B.X.L._________________Metal Moulding r � Ar'' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flor' a ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub actors 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ 0 '' 1 (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. 11 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ss. (Signed) Master Electrician. 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. SWITCH OUTLET n . ,a 1, IG ,� t1IJTS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. - WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST , � a � / / " CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0 -1 HP MOTORS 1-5 HP NEON TRANS. RADIO TOTAL CONTR. LI ST f r CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No a? __- /__ - - - - -- Date Application is hereby made for the approval of the detailed statement o f 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 No Street Registered Architect and /or Engineer f Employing Electrician's Name 7- : r ` ' • No Street / / ' Location and Legal Description Lot . Block Subdivision t A Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building — Remopelin r r Addition,,, >r Repairs • No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit_ Tubing B.X.L._________________Metal Moulding r � Ar'' Electrical Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flor' a ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub actors 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ 0 '' 1 (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. 11 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ss. (Signed) Master Electrician. 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. Date 9 /ileS Job Address 6-58 N 9 57- Tax Folio Mc3Z-D.5;0/ " 0 Legal Description (SOT //Z LOT dLOC1 l /4r''I / (3J c)/t cCr Z :o. Qualifier APPROVED: . 'PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Lessee / Tenant 1. /ID IfN�I�Ei\) One:; I.ddress .S56 Pe R c, 5r 3:ata :. e0(0//40T' `cipal Ar cai t ac t,'2ngineer Bonding Company Address Mortgagor Address rype' is ci one;: EUILDING EL3CT ICiAL 7r JMB:NG Y1ECHANI3._,. ._C. ING _). :JG _,'!l._ J_GN ' DESCRIPTION. Square Ft. / ! O FEES: PERMIT 7.. 'e°.e ;A _j_.'11, TO 2,WN YOU HUST 77 C09.' a NCT -` 7: 7: :© S2 .._ ._JULT :N T'ri r .. 70.R. _�:� =�..�J ._. {....�tr..� .4:T,. .=vi:.. :a17:+7 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. Y?NER S .ii _ DAvTT: _ certify that all the foregoing _ rfcr 'lation is accurate and ::'.at all work will s ±cne in compliance 'w zn all applicable laws reguiating cons cruc:._31 _ . _- er':hore. T :he above contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission E4Yri,' OFFICIAL NOTARY SEAL O,� SARA W1 HIRSCH * Js * COMMISSION NUMBER * "' Q CC3348646 •** * * �� R �. � mi COMUSSIOa L'XP * * OF P.w i1IAR. 1 1993 C.C.P. Zoning RADON Mechanical Plumbing Master Permit ik g3 'i ss3 - so4(Co ? one Competancy :.. o. Address Estimated Cost(value) Si of Contractor or Owner- 3uilder Date: Notary as to My Commission * * / o NOTARY Fire Building Other Electrica Ex i OFFICIAL NOTARY SEAL SARINA ,v1 HIH CH it 0,iii i COMGIISS,ON NUdW R `t CC348 i46 ' il" 4r MY CiiMMI4SiO 1 Egg OF F■ iv1AF1, 1,14911 TOTAL DUE r "' Engineering MIAMI SHORES VILLAGE BUILDING DEPA 6,T 305- 795 -2204 Building Inspection Req Dat3 Type Insp'n II Permit NoT'- J_ Name Address scs 6% 4 Company & Phone # 5 ^ ¶ , Inspection Date 3 Z \' Approved Correction ❑ �' A /�7 aa'f Re- Insp'n Fee ❑ Type Insp'n Perm Name Addre Compan Phone # 0 Date lib- 'oo ,b For Inspector: (V(3 a ( (13 GName Approved LJ Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Y Building Inspection Request Re- Insp'n Fee ❑ Time o MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ie` Time Type Insp'n ? /r / Permit No. 61� 2 els) '- 2 9 2- Name /L� Address 3 C7 C F Y Company �i i. l ( Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque t D Type Insp' Permit No. Name Phone # Inspection Date Approved Correction Re- Insp'n Fee b_ ❑ / 3 s� ,'m1 c/ v MIAMI SHORES VILLAGE 66 2-7 BUILDING DEPARTMENT 0 Type Insp'n 305- 795 -2204 Building Inspection Request Date 1 F t ()Oh Ca Permit No. Name reW Address JS )* _ q S+ Company D Phone # Inspection Date 6 �� Approved Correction Re- Insp'n Fee _ ❑ MIAMI SHORES VILLAGE \(� ; BUILDING DEPARTMENT 0 ■ 305- 795 -2204 Building Inspection Request Date Type Insp' n 130 Permit No. ri Name (� i..�L Addre si � � Company t' -t Phone # Inspection Date 1 f ) Approved Correction Re- Insp'n Fee ,