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PAINTMIAMI SHOR S L`�AGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat Z Type Insp' Permit No. Name Address Compa Phone # Fc /2/ S 1 Inspection Date N Approved Correction Re- Insp'n Fee Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAY 2 0 2004 Tel: (305) 795.2204 Fax: (305) 756.8972 a....... BUILDING Permit No. ►:��' �,(�ll PERMIT APPLICATION Master Permit No. FBC 2001 C. • • ECEIVED Permit Type (circle): Electrical Owner's Name (Fee Simple Titleholder) , ja uid gc, PhonCi 30,5 7.f 6 0 p 7 Owner's Address /D D Z A/ ' City /VOW P " State 33/ 3 i f Tenant/Lessee Name Phone # Job Address (where the work is being done) /00Z NO 9 Sf City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name ("t41, /C Contractor's Address N76 of.4 City / Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition Submittal Fee $ nn��rr11 Notary $ lJO Scanning $ Code Enforcement $ (Continued on opposite side) Z iso County Miami -Dade Zip 3 3/ 3 J NO State ['Alteration ❑New Plumbing Mechanical Roofing Zip d 7 ,C3 �y ' " Phone # J j - e zip 33/‘/ Square Footage Of Work: ❑ Repair/Replace ❑ Demolition Describe Work: lJ pi lJ Q /€1) fYv ** * * * * * * * * * * * * * * * * * * * * * * * * ***F ` *` * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ (o 0 CCF $ 1 ,60 _ CO /CC Training/Education Fee $ (o 0 Technology Fee $ - 5 0 . Radon $ Zoning Bond $ Structural Plan Review. $ Total Fee Now Due $ � )7C -- C)f ft-id C l 4 1 -S Bonding Company's Name (if applicable) Bonding Company's Address City State NOTARY PUBLIC' Sign: M ` �` Print: / "/ t eL My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 Signature NOTARY P Sign: Print: My Commission Expires: Zip 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 $2500, 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. C ontractor Owner or Agent The foregoing ' ment was acknowledged before me this /' The foregoing instrument was ac �owledged before me this4 day of fii ay Yo ,210 b ,ivI. •rte, \_ AL- -4 . who is personally known to meeMN l $il� who is personall known to me or who has produced As idea '_ .., ,, , � . -'. - iiH,: • • •''' ... . bath. identification and who did take an oath. - � S' Bonded Um i %%,,,a Z Atlantic Bo ago,la . ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. 0 /5i/6/ ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MAY 2 5 2004 Plans Examiner Engineer Zoning City nr0a1r Nr-.J Fascia / 6 5-2- Drip Cap /drip Edge Ai/ Soffit Roof Flower bins Shutters N/ Awnings /� Chimney 4 ' / /t Doors and door jams 67/ Garage doors /T C " Railings Alkt Fences A / 1 Decorative metal 4. Signature • • • M APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement Date g/ Ay Owner's Name a • %� �" Owner's Address �Z A �� l � State ' Zip Job Address (where the work is being done) IDOL /(/E 91 4 fT City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO applicable) Phone # Contractor's Company Name (if a p � ) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color 1 Walls H ' T7 All brick (simulated or regular) Stucco banding Any other stucco features '' I Accessory Buildings /9 U) / wce—f /—, C -- C` 7 Agent 7./ L P &ZOffi Phone # .3.x/31 2B sea urchin 1/B 1052 071 Other ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Date 4/ 7/0 Date chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -677 Printed: 5/26/2004 Applicant: JANET BAPPERT Owner: BAPPERT JANET JOB ADDRESS: 1002 NE 98 ST Contractor COMPLETE HOME PAINTING Contractor's Address: 1476 NE 130 STREET Local Phone: 305 - 895 -1368 Parcel # 1132050180300 Building Permit Legal Description: REV PL MIAMI SHORES SEC 8 Fees: Description Amount FEE2004 -5323 Building Painting Fee $60.00 FEE2004 -5324 CCF $1.80 FEE2004 -5325 Notary Fee $5.00 FEE2004 -5326 Training and Education Fee $0.60 FEE2004 -5327 Technology Fee $1.50 Total Fees: $68.90 Total Fees: $68.90 Total Receipts: $68.90 Permit Status: APPROVED Permit Expiration: 11/16/2004 Construction Value: $2,450.00 Work: EXTERIOR PAINT Signed: (INSPECTOR) Page 1 of 1 PB 43 -69 LOT 13 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 180 LOT Dat Type Insp Permit N Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request i J Time / _ Address / 00 J � ` r` f Company — »/�'.� Phone # ' — 17-- V- 6 C'` 77 For Inspector: /4'-/S /t'oi Name & Date Approved Correction ❑ 1 Re- Insp'n Fee ❑ CO ty A't !1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Permit Number: BP2002 -2042 Printed: 11/26/2002 Applicant: JANET BAPPERT Owner: BAPPERT JANET JOB ADDRESS: 1002 NE 98 ST Contractor JOMAC OF MIAMI INC Local Phone: Parcel # 1132050180300 Fees: Description Amount FEE2002 -6750 Building Permit Application Fee $60.00 FEE2002 -6751 CCF $0.60 Total Fees: $60.60 Total Fees: $60.60 Total Receipts: $0.00 Permit Status: Approved Perritt Expiration: 5/25/2003 Construction Value: $805.00 Work: EXTERIOR PAINTING AS PER AGREEMENT If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 dire by his agents, servants or employees. Building Permit Contractor's Address: 1160 NE 169 TERR Legal Description: REV PL MIAMI SHORES SEC 8 Signed: (INSPECTOR) BY: Page 1 of 1 In consideration of the issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordwurkas end epu1YNINM with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptIng Ilea permit 1 iMSwne myself, my agent, servants or employes. PB 43-69 LOT 13 BLK 180 LOT MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: c9 c OWNER'S AME: /)pe /21 PHONE: ADDRESS: * * * * * * * * * * * * * * * * * * * * * * * ** * ** * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE; ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge Soffit Roof '2,c k Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory'Buildings Other 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sample igna ure of Owner l ate Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: ii( r Building Official Date 0 o' cn r H H z WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 CONTRACTOR New Construction / A Name �0 0/0 1 1C. E!- /'l /4/�1 �Y ,- 'C/ License No. / , 0 Address a © tiE J 9 TES, 5-U, //4 009/ BeOc1 / 3 ?/b Z Telephone ?..5-115 L C/ !/ Fax Repair /�- Qualifier�NaanI . 99"itle / J/ 3' /3 / U «24 TYPE OF MANAGEMENT (1 ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other M.1 I N _ ��A,W - .r� L- Step 1. Job Address: Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION S 1 . S Ai Apt. [/ Folio Number j 13.3.©J 0 sS 0 Descri tion of Work Lot Block A-4.6 Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work gOs. 0 Bldg Value Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER gthiy\of Name Address Home Telephone Business Telephone Fax Master Permit No. Subsidiary Permit No. City Tax Assessed/Appraised Value State PERMIT APPLICATION Zip Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. e ia�'q Print Name / STATE FLORIDA, COUNTY OF MIAMI -DADE Swom to and subscribed before me this 7 t9 SEAL: aralc Signature of tary Public - State of Florida Elizabeth T Laech 20 • 115063 ► r Expires May .06, 2009 PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier �/ Print Name day of l le ° , Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QT Y. TYPE. Dryer Q'F1. '1'l I'P: Outlet, Appliance (111. 'I 1 PI.: Service Repair (Y1 N. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE. Minimum Fee QTY. TYPE: Condensate Drain QTY. 'I'1 PE Generator Q' l'. Tl' PI: Refrigeration, Tons Q 1 1. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE. A/C Condensate QTY. TYPE Drains, Roof Q'I'Y. TYPE Miscellaneous Fixture Q I1'. 'FYI'I.. Soakage Pit Q 1 1. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERNIIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ t/ r 6 $ g SECTION Zonin Electrical Mechanical Fire Plumbing Public Works Structural Building Official BY DATE ( z .6. x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ PERMIT APPLICATION ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 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 the work. Date NA /er 19 Owner's Name and Address R c If R O STAN A PP E — No. /6) Street,L29p Registered Architect andior Engineer �/ ,q v Name and address of licensed contractor 'V W���,/ Location and { legal description of lot to be built on: V Lot / Block / et �Subdivissioon 1/S�treet and Number where work is to be done LO0__A[ •E L� l Permit No. Date Disapproved (Signed) Council Approved APPLICATION FOR BUILDING PERMIT Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date e- tate ork to be done and purpose of building (by floors), state exterior colors (submit samples) Remarks Sign 1 s rR4rT PA /NTE D New Building Remodeling Addition Repairs To be constructed of Kind of foundation Roof Covering p 1--Estimated Total cost of improvements S QZ p 0 0 • 0 0 Amount of Permit S 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 plans and specifications for said building. All notices with reference to the buildi No. of Stories The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 subcontractors 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 be performed under this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } 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, 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. Read, Sworn to and Subscribed before me. Notary Public. State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved and for no other purpose Date NOTE: A charge of 525.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship