858 NE 97 St (3)Date
Type Insp'n
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAG
BUILDING DEPARTME
305- 795 -2204
Building Inspection Request
Permit No. ,, Y I 2004 -103
I
Name — erns ,
Address g C qi S
Company ao 1 (Pi
Phone #
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder „d ?
Legal Lot Bl.
Description t,' 1 3
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 5786
Work to be performed under this Permit
Subdi-
vision
DATE 194_
Contractor's .,
License No.
Address of ' , / r . i Value of Amt: of
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 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, 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 2N4.awings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. I
INSPECTOR B y
In consideration of the issuance to nee 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 aegep ' g this it I a e responsibility for a work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER '�+. ,. BY AUTHORITY
3
�•a
tf. tt t!. t/. t!. tf•�� tf t
.�� t!.• �•• �. y . �, jf,....., �l,....,, tl, �.. �. y ., �, y tl,-,. �. y.,-, tl, �,. �. y ., �• tl, �,. 8 ... �, ��,....., �1, �.. �. y .. �, 1l r �� y �tl ��ytf.••...., tJ�, �.. �. y._, tl ,�..�.y.�,�!- �1y- tl.��.�.y..�.i
11G�1�•i1 1t 11CD��tIGV3•tT�{AR,t �iiv il(�3'V�CVT4�MlN IkA tQT4�11zVi�ifC�4�tlCtAT4�S��VW MIrCQT�•i1GDZ• ict?o�il llGV3�•i1NT•�•i1�Vi�•IiC[{?�•�i
Issued /6'• 19��
Amount }
a
No. Houses %, -
t iami eShores9' llage
i L O • ID A
BUILDER'S BOND
KNOW ALL MEN BY THESE PRESENTS, that I, —_�,�4 % P� 2 % %�
Address Oi v,�, :,��
in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building
or buildings at the following addresses:
ti
N° 633
30
do hereby deposit with Miami Shores Village, Florida, the sum of � , and I agree with said Village that, when such construction shall
have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me,
used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the
completion of such construction w7tl jn the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and
repakirp out of the aforesaid!' , and return the remainder to me; and that, if 1 shall clear and repair said property immediately, as aforesaid, then
said ti% 5 shall be returned to me.
3 WITNESS MY HAND and Seal at Miami Shores Village, Florida, this
t ' : (Seal)
v e INSTRUCTIONS TO BUILDER -- -When above mentioned construction is completed and t e preses are cleared and repaired tak /this bond to the ?+
o. Village Building Inspector and obtain his approval, after which Miatfii Shores Village will refund yo r money in accordance with the avc agreement.
r;= VILLAGE BUILDING INSPECTOR'S AR ROVA ;�
%4- I hereby certify that the construction contemplated under this Bond, has een cofnpleted and that the builder thereof bas
•-:4 caused the surrounding premises to be cleared and repaired in as good condition a they Were before commencing said construction.''
WHEN CLEARED AND REPAIRED BY THE VILLAGE �
Amount of Bond $ %�� Atjllage Building Inspector, Miami Shires Village
:=
. Cost of clearing and repairs done by Village . $ " , Balance due Builder $ Cancelled 19 By WS S Q •� ICM
• ° • ' •f ` 'i `•°. ° l- ° ••C" 43 • •'• °••'• • ' r 441 • ' •i ' •i `• °•'• • ..i:••ctM" lttecetr i NC cite MMM11 %Y•....•
BUILDING
,ELECTRICAL
PLUMBING
w weer of
ilding
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE
CONT
PERMIT N2 5786
Work to be performed under this Permit
Bl. 7 9
Sri
ACTOR OR BUILDER
v isi o n t
vision d
Value
to( if Q
Project y7D
BY
Contractor's a
License No.
/e. 194
Description Lot 4) �'Z Er'�'t 72, Q
Address of `1 cf : A
Building G� 7
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 appli-
_caticn herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work•will be performed in compliance with any
awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
al a 'me 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 as es the responsibility for a•thoron h knowle. :e of th ordinances and
regula ' ons pertaining to the work covered hereby whether shown on the plan s •% rawmgs o tate ents pt specification 'an. that assumes respon-
sibilitffor work done by his agents, servants or employees. - t
b . Signed. " By
OR
Amt. of y/ `
Permit 4
d7 I'
•
- .INSPE
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 au es of Miani. S o age.
In �•• e r g this • it I r, le responsibility for all work done by either myself, my agent, servant or employee. ��
! a
AUTHORITY
N° 50
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla , `
Owner, utRgial
Lot Block Subdivision f M
Street Address„ .,-
Approved use by occupancy
Remarks •
This Certificate of Occupancy is issued to the above named ; +
for building at above named location only upon the express provision that applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 4 and known as the
Zoning, Electrical, Plumbing and Building Ordinances of iami Sh res Villa a pertaiping tIS
the erection, construction, alteration or remodeling of 1 ngs or s cture }
BUILDI ,DIVISION
c
I�.