590 NE 96 St (2)BUILDING
ELECTRICAL
PLUMBING
Owner of
Building ;
Architect
_ Contractor
(or Builder y
Legal Lot ; BI.
Description
— �, -
44 1114 . 4
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 3569
Work to be performed under this Permit
DATE 194
Contractor's
License No
' 3ostructiou may be ir. of
g uard Genital limittfiwiS b " 41
Lre crease 4 b coeult pre N1 Pratliction
• rd Ale befoul ass vein oillorfee0 iA
Subdi-
vision `, • - ` t, e`w
Address of Value of Amt. of
"� 7
Building Project _ : r. 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 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 inances and gt� pp
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth ies of Miami a s�+ P4
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
Permit
11 e
Amount of Permit S
New Building
es.
Owner's Name and Address _
Registered Architect and /or Enginee
Employing Electrician's Name _
Location and Legal Description Lot
APPLICATION FOR ELECTRICAL PERMIT
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 th0 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.
Street and Number where work is to be
Remodeling Addition.
4
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
State work to be performed and purpose of building (By Floors)
I X9 2, �> — /0 0 4
Overhead
Service Underground Size Feeders Conduit__ Main Sw
Type of Installation— Conduit Tubing B.X.L
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such re-
materials and /or workmanship.
�" ���� //��" � No. ,.1 – – _ Street t - • q
�� 111; d_d.ct.r � �11C'r(' •
No Street_____
�-- Block Subdivision_ =
performed —No 571 Q 1/1. q Street
(5
The undersigned applicant for this building permit does hereby certifl
under the Florida Workmen's Compensation Act, being Section 5966. Con
plied with the provisions thereof, and will require similar compliance fro
performed under this permit; and will post or cause to be posted for ins
required by the Act. The under signed agrees to employ only such sut
licensed by Miami Shores Village.
(`
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly au
appeared
to me well known, and who, being by me first duly sworn, upon oath del
of the above described construction, that he has carefully read the fo
therein by him stated are true.
Date
3 - '1-
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'
A l
FIXTURES
NO.LAMPS
i 5‹
REFRIO.
OUTLET
L
IRON
OUTLET
RANGE
OUTLE
C L STR
/ 4..,
, -r
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
CONTR.
LIST
be
jt
CHECK
Permit
11 e
Amount of Permit S
New Building
es.
Owner's Name and Address _
Registered Architect and /or Enginee
Employing Electrician's Name _
Location and Legal Description Lot
APPLICATION FOR ELECTRICAL PERMIT
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 th0 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.
Street and Number where work is to be
Remodeling Addition.
4
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
State work to be performed and purpose of building (By Floors)
I X9 2, �> — /0 0 4
Overhead
Service Underground Size Feeders Conduit__ Main Sw
Type of Installation— Conduit Tubing B.X.L
My Commission Expires
NOTE: A re- inspection fee of $1.00 will be made when such re-
materials and /or workmanship.
�" ���� //��" � No. ,.1 – – _ Street t - • q
�� 111; d_d.ct.r � �11C'r(' •
No Street_____
�-- Block Subdivision_ =
performed —No 571 Q 1/1. q Street
(5
The undersigned applicant for this building permit does hereby certifl
under the Florida Workmen's Compensation Act, being Section 5966. Con
plied with the provisions thereof, and will require similar compliance fro
performed under this permit; and will post or cause to be posted for ins
required by the Act. The under signed agrees to employ only such sut
licensed by Miami Shores Village.
(`
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly au
appeared
to me well known, and who, being by me first duly sworn, upon oath del
of the above described construction, that he has carefully read the fo
therein by him stated are true.
Date
3 - '1-
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 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 /..J a ` ' r •' L
Registered Architect and /or Engineer
"/ /4 r/
Employing Electrician's Name r k a
Service Overhead Size Feeders Conduit Main S�v
Underground
Type of Installation — Conduit Tubing B.X.L
No Street . .i�
/`' �
No ....may Street ^� � �: d'`
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No J Street 1/ f'.
(Signed)
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
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 sub-contractors, on work to
licensed by Miami Shores Village.
Date
Amps Main Fuses Amps
.Metal Moulding
(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
Masse Electrician.
and take acknowledgments, personally
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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' "
REGCP'T'S
FIXTURES
No. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
'
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
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 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 /..J a ` ' r •' L
Registered Architect and /or Engineer
"/ /4 r/
Employing Electrician's Name r k a
Service Overhead Size Feeders Conduit Main S�v
Underground
Type of Installation — Conduit Tubing B.X.L
No Street . .i�
/`' �
No ....may Street ^� � �: d'`
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No J Street 1/ f'.
(Signed)
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
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 sub-contractors, on work to
licensed by Miami Shores Village.
Date
Amps Main Fuses Amps
.Metal Moulding
(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
Masse Electrician.
and take acknowledgments, personally
STATE OF FLORIDA, 1
COUNTY OF DADE. I
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
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.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.... S Z" Date /7 1969
Application is hereby made for the approval of the detailed statement of the p ans and specifications herewith sub {ted for ce building or other
structure herein described This ar plication is made in complia :. and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all ;,:ro isions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of eh Building Division
of Miami Shor Village shall be complied with, whe.her he ein specr ied or not. A copy of approved plans and specifications must be kept at
building during .ogress of wor
Owner's Name and Address. .... -_ No (�
s' 940 Street.A. ‘. 96. .. .
Registered Architect nd /or Engineer _ ......
Employing Electrician s Name. e.o .Eie. No 3° 9
Location and Legal Descriptioi ! of ........... . . .............. ............ ..... Block ,(
Street and Number where work is to be performed —No . .. 47�O .�l�era ... .Street.
State work to be perfo:med and purpose of building (By Floors)
New Building.......... Remodeling__..._ ....... Addition .... ................Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
(Signed) COW-
(Signed)_
Subdivision
3. rvice O nverder g roun h e a d d
Size Feeders . ...... Conduit. .. _. Main Sw .........................Amps ....Main uses Amps
q U
`type of Installation — Conduit. . ...... ..T ibing.. .B.X L . . .. . . .Metal Moulding.
El cctri sal Inspector.
The undersigned applicant for building permit does hereby certify that he understands and acre s is obligations as an employer of
iabo und• r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of lorida Permanent Supplement, and
has omp11_d c:ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be p rformed under this permit; and will post o.. cause to be posted for inspection on the site of the wo k suc_.. public notice or notices
as are requir. d b; the Act. The undersigned agrees to . iplo,r only such sub contractors, on work to be y-rfor:i ed under this permit, as are
licensed by Miami Shores Village
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 construLtion, and he h. carefully read the foregoin 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 workma ^.ship.
SWITCH
OUTLETS
LIGH'.
OUTLE 's
PL i0
REC 'P'T'S
FIXTURES
NO LAMPS
REFRIG.
OUTLET
IRON RANGE
OUTLET OUTLET
RANGE
CONN
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATEQ
TOTAL
CONTR.
LIST
CHECK
ENT.
5% .
DISY.
:.AB.
SE. V GE
T'MP.
SERVICE
PERM
o C
MOTORS
O•I HP
MOTORS
t•S HP
N: - ^N
TRANS.
R ^. DIO
TOTAL
CONT
Li T
■
/ &D �
/o
CHE K
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.... S Z" Date /7 1969
Application is hereby made for the approval of the detailed statement of the p ans and specifications herewith sub {ted for ce building or other
structure herein described This ar plication is made in complia :. and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all ;,:ro isions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of eh Building Division
of Miami Shor Village shall be complied with, whe.her he ein specr ied or not. A copy of approved plans and specifications must be kept at
building during .ogress of wor
Owner's Name and Address. .... -_ No (�
s' 940 Street.A. ‘. 96. .. .
Registered Architect nd /or Engineer _ ......
Employing Electrician s Name. e.o .Eie. No 3° 9
Location and Legal Descriptioi ! of ........... . . .............. ............ ..... Block ,(
Street and Number where work is to be performed —No . .. 47�O .�l�era ... .Street.
State work to be perfo:med and purpose of building (By Floors)
New Building.......... Remodeling__..._ ....... Addition .... ................Repairs No. of Stories
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
(Signed) COW-
(Signed)_
Subdivision
3. rvice O nverder g roun h e a d d
Size Feeders . ...... Conduit. .. _. Main Sw .........................Amps ....Main uses Amps
q U
`type of Installation — Conduit. . ...... ..T ibing.. .B.X L . . .. . . .Metal Moulding.
El cctri sal Inspector.
The undersigned applicant for building permit does hereby certify that he understands and acre s is obligations as an employer of
iabo und• r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of lorida Permanent Supplement, and
has omp11_d c:ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the
work to be p rformed under this permit; and will post o.. cause to be posted for inspection on the site of the wo k suc_.. public notice or notices
as are requir. d b; the Act. The undersigned agrees to . iplo,r only such sub contractors, on work to be y-rfor:i ed under this permit, as are
licensed by Miami Shores Village
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 construLtion, and he h. carefully read the foregoin 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 workma ^.ship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder ; .; •
Legal Lot
Description
Address of
Building 1 '
1 4.
/0 0 in Q L#i4.s. ✓
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 3569
Work to be performed under this Permit
E_. el •
Bl.
DATE . _ f 194
Contractor's
License No.
mot n' it A
4
_re usuboned N aim* ips Mar Plot ,elion
boot Mid MINN Sift IMP* 11006ed i#
this met
Subdi-
vision • .L
CONTRACTOR OR BUILDER BY AUTHORITY
Value of Amt. of
j ( "--tlIPP Project Permit / y jy
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 or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees. }
Signed• t t,_ By 'C
II IIPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions 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.
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.ida,
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. , g
Owner's Name and Address 4c/ / /.S. A/. ... - hB/�?l �.0.9� No 6 Y / L' l C Street
Registered Architect and /or Engineer A a.— Employing Electrician's Name HAX e/ 6 No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 6 A//- is
Street f�(L�
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Underground Size Feeders 0 Conduit ,.- Main Sw Amps 2 ® a Main Fuses . Amps
Type of Installation— Conduit Tubing B X L Metal Moulding
APPLICATION FOR ELECTRICAL PERMIT
t
Date
88.
, L
g c
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)...
No. of Stories
Amount of Permit $ 1 00 (Signed) M r � t l" r /
Electrical 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 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 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. •
aster Electrician.
STATE OF FLORIDA, l
COUNTY OP DADE. I
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.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
D18T.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1-5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
2®O
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu.ida,
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. , g
Owner's Name and Address 4c/ / /.S. A/. ... - hB/�?l �.0.9� No 6 Y / L' l C Street
Registered Architect and /or Engineer A a.— Employing Electrician's Name HAX e/ 6 No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No 6 A//- is
Street f�(L�
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs
Service Underground Size Feeders 0 Conduit ,.- Main Sw Amps 2 ® a Main Fuses . Amps
Type of Installation— Conduit Tubing B X L Metal Moulding
APPLICATION FOR ELECTRICAL PERMIT
t
Date
88.
, L
g c
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
(Signed)...
No. of Stories
Amount of Permit $ 1 00 (Signed) M r � t l" r /
Electrical 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 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 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. •
aster Electrician.
STATE OF FLORIDA, l
COUNTY OP DADE. I
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 ❑
ROOFING
Owner of
Building
❑ PERMIT N° 15152
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot II BL
Description.
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 195
Subdi-
vision
Value of
Project $
Contractor's
License No
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 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