874 NE 99 St (5)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT l
305- 795 -2204 \
Building Inspection Request \ _
Date la J 1
Type Insp'n t ?an/
Permit No. 6P .O!3 40x1 •
Name
Address
ujes \e
�s'14 ‘vE o c s 1-
Company
Phone #
Inspection Date t� 11-
Approved
Correction ❑
Re- Insp'n Fee ❑
MIAMI SH01i.S. VILLAGE
Pint Color Agreement
•
DATE: es-69e-es ...
_ •
• • "OWNER'S NAME: ,� �'�cSL ••• • •PHONE: 2/-' e
✓ADDRESS: a 74 Nt 9'7 -VTR
** **************************** * * **14444*oi* * * * * * * * * * * * * * * * * * **
DDRESS OF SITE: Sorsa A: ..:• ••• •.'
CONTRACTOR & LICENSE (if applicable) I' / y
COMPANY NAME: �' PHONES'
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls ,(/ —z39 c i /,r 3 --I 0 r'wle
ascia <v.v. -,
rip Cap/Drip Edge
offit w///re
Roof f/
Flower Bins Al/A.-
Shutters Av /11
Awnings Ada
Chimney
Doors and door jams &i/,rg
Garage Doors e,',
Railings �✓/4
Fences
Decorative Metal Metal ,v //1.
All brick (simulated or regular) N/A.
Stucco Banding
Any other stucco features Nl/4,
Accessory Buildings /fr
Other
gnature of Owner
APPROVED:
3740/613
Date
Building Official
•
2/B
0
0
Naples Cream
Creme Napolitaine B1
129
`if >
OWNER'S AFFIDAVIT: I certify that all the foregoing infolmation 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. Furthe • re , the ai t colors will be as per the attached
441F
ate ` ¥ Signature of Contractor Date
* * * * * * * * * * * * * * * * ** **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: ,c23- /5"- 03
OWNER'S NAME: ..je, CvS.r - PHONE:3ot =?s -oo6
ADDRESS: 87V ,v' 99
*********************************** * * * * * ** * * * * * * * * * ** * * * * * * *'* * * **
ADDRESS OF SITE: „ e ./44 ..
CONTRACTOR & LICENSE (if applicable) ,v /4
COMPANY NAME: ,v /4- PHONE: .4
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted,
Walls St. 4s a Al E /I-/S"
Fascia Gv•Yi
Drip Cap/Drip Edge & e
Soffit w,y/
Roof A01+
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular) 4)/ A._
Stucco Banding ov /,4
Any other stucco features 0.//A-
Accessory , fi
Other
les.
APPROVED:
Building Official Date
sa I1.
40/ 13
1815
� o a
Subtle Orange
Orange Subttl
0
ijo1 ilk 444
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. FyP}ermore , the paint colors will be as per the attached
ignature of Own r e Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305-795-2204 Permit Number: BP2003-407
Printed: 12/16/2003
Applicant: JON
Owner:
JOB ADDRESS: 874 NE 99
Contractor
Local Phone:
Parcel # 1132060142410
WESLEY
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10-37 LOTS 2 & 3 BLK 72 LOT SIZE 100.000 X
Fees: Description Amount
FEE2003-1976 Building Permit Application Fee $60.00
FEE2003-1977 CCF $0.60
FEE2003-1978 Notary Fee $5.00
FEE2003-8347 Renewal/Extension Fee $65.60
Total Fees: $131.20
Total Fees: $131.20
Total Receipts: $131.20
plot cc lar
Permit Status: Approved Permit Expiration: 12/25/2003 Construction Value: $500.00
Work: EXTERIOR PAINTING AS PER AGREEMENT
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 accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
CONL UNITY RESPONSE TEAM COMPLALNT
Date/Time Received: /M` 03 By:
Complaint Received Via: Telephone Self - Observation Letter
V11 ge Complaint
Other
Location of Violation
Nature of PAPlithil/` kVA' IAA 0 CC-
f
Complainant's Name: ( # T C r`a �/
J
Complainant's Address:
Complainant's Phone Number IL W:
Complainant's Desires to testify: Yes No
THIS AREA TO BE COMPLETED BY COMMUNITY RESPONSE TEAM ONLY
Officer Name Officer Number
Complaint Number Date Assigned: Logged by
Case Report Number: Other Information:
Violation of Code Section(s):
Remarks/Comments:
Recommended Action (Chi all that apply):
Date Close Unfounded Follow -up Needed
Community Response Officer Reviewed By
Miami Shores Village
10050 NE 2nd Avenue
Applicant: JON
Owner:
JOB ADDRESS: 874 NE 99
Contractor
Local Phone:
Parcel # 1132060142410
Permit Status: Approved Permit Expiration: 9/8/2003
Work: EXTERIOR PAINTING AS PER AGREEMENT
Signed:
igned:
Building Permit
Permit Number: BP2003 -407
WESLEY
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 2 & 3 BLK 72 LOT SIZE 100.000 X
C
A.,0 s_DD
,S. L o (.
Total Fees: $8=99
Total Receipts: $0.00
Construction Value: $500.00
Page 1 of 1
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 done
by his agents, servants or employees.
(INSPECTOR) BY:
11,,D--0 •
In consideration of the issuance to me di` 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 age t, servants or empl
(Contractor or Builder) BY:
2�
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2003 -407
Printed: 3/12/2003
Applicant: JON
Owner:
JOB ADDRESS: 874 NE 99
Contractor
Local Phone:
Parcel # 1132060142410
Permit Status: Approved Permit Expiration: 9/8/2003
Work: EXTERIOR PAINTING AS PER AGREEMENT
Signed:
Signed:
Building Permit
WESLEY
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 2 & 3 BLK 72 LOT SIZE 100.000 X
,-() 0 , 0 ") 'zk D 6
C 1 6 0
Zs_ h, 0
Total Fees: SENN-
Total Receipts: $0.00
Construction Value: $500.00
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 done
by his agents, servants or employees.
(INSPECTOR) BY:
In consideration of the issuance to me of this ermit, 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.
(Contractor or Builder) BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/12/2003
Applicant: JON
Owner:
JOB ADDRESS: 874 NE 99
Contractor
Local Phone:
Parcel # 1132060142410
Permit Status: Approved Permit Expiration: 9/8/2003
Work: EXTERIOR PAINTING AS PER AGREEMENT
Signed:
Signed:
Building Permit
Permit Number: BP2003 -407
WESLEY
ST
Contractor's Address:
Construction Value: $500.00
Page 1 of 1
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.
SPECTOR) BY:
(Contractor or Builder) BY:
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 2 & 3 BLK 72 LOT SIZE 100.000 X
� s a
-Is -
Total Fees: $0;06 -
Total Receipts: $0.00
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.
In consideration of the issuance to me of thi ermit, 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.
PROPERTY OWNER
Name e z.
/t/l
Address
.f7 ( Ale 44' El. 1
.Kim , _XovZP C , Pt - 3 313 8'
Home Telephone a� 7 Sy _ 006 g.,
Business Telephone CAPS 2 7 (_ Z y + -1 Q
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Demolish
Alteration Interior
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step I.
•
Complete the attached permit application which must be Ogled By � e .6 rfe b i r and tptalifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your;appli4atian..Ifg�
oofitoric jJlll 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.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
E 7 41 Ai6* 99 s lE67 itA *ti sfro, f ,L 33 I 38'
Address
Folio Number ✓Description of Work A /Nf /NG,
Lot Block
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property - , C/alue of Work, V • C'?" Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
• ••• •
• •. •
. • •
• • •
• . .•• •
• ▪ • • • • • •••
• ••• • • • • •
. .••
• • ► aster �eri u No'
• Sib�ictaty .
. •
Apt. City State
PERMIT APPLICATION
0 3
Zip
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone
Fax
Qualifier Name
Page 2
••• •
• • •
•
• • • • • • • • •
• • • •o• • •
••• •
•
•
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT FI RECEIVED YOtJR VA 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 4 weekends or holidays.
2. All construction of demolition areas MUST BE MAIVA3N .f)3N4 iLBtA'i, NAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTITS BEAEFT FRE£i t01M DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM B.ING palitGqD Y:EQ1110MtNT 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.
AFFIDAV'11' - 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.
Print Name Print Name
Sw . to nd subscribed before me this day of Sworn to and subscribed before me this day of
AiNlik -
fi r; . . fir 5r .
SEAL: or
E ' November 15.2008
•
•
Signature of Contractor / Qualifier
Signature of Notary Public - State of Florida
SEAL:
PERMIT APPLICATION
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
OR, Produced Identification v Personally known OR, Produced Identification
Personally known ,-
Type of Identification Produced: Fkb L 1�V 14 o' t/ 7 3 � Type of Identification Produced:
ELECTRICAL
.1.x.1,1.;
Minimum Fee
Q
TYPE
Dryer
Q . i `,
••'
.i.`'1'!.
Autlet}Appli #n&.
Q . n .
.
Service Repair
Q . Q . Y .
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
TyrE
Minimum Fee
QTY.
mg
Condensate Drain
Q'1'1'.
Tl'1'E
Generator
QTY.
T1'1'1:
Refrigeration, Tons
Q'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
.
A/C Condensate
Q
'FITE
Drains, Roof
()Ty.
TYI'1
Miscellaneous Fixture
()Ty.
' \
Soakage Pit
Q
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 perfdreled and qultntit9(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
,SECTION
BY a' tr7g
TE X
Zonin
'
r_'L__ - - --
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
`°
Page 4
OFFICE USE ONLY
O OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$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
R r C)A C e
FC/ AND PREPARED BY:
• .• •
•• •
• •
••• •
•
•
. 4v
•••
• ••• •
• • • ■ •
• • • ••. •
••• •
• • • • • • •••
• .. • • •
CHECKLIST
❑ PROOF OF OWNERSHIP
•1 . ••(Atbaeh) •• • . . .. • •
• •
• • • • ••• •
• •.O.i t$/ k! 3.PA1'4'JVAL
(Septic / Sewer)
O IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERNIIT FEES
$
•
•
• .
•
( x .60 x/1000
)
(¢.005 / sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ '° v
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
BUILDING
ELECTRICAL
PLUMBING
I Lt--(
CONTRACTOR OR i PER
MIAMI SHORES VILLAGE, FLORIDA
DATE
RMIT N2 4493
Work to be performed under this Permit
Bl.
ti.
Subdi-
vision
BY
Contractor's
License No.
5 _
Architect
Contractor
or Builder
Legal Lot
Description
Address of Value of Amt. of '`ZV
Building 4 ` 4 ( Project 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 e appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in complian• with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit ma e revoked
at any time if the work is not done in compliance with such ordinances or if the pli!'hs are changed without authorization. A further conditi, u which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of t rdinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the ,Statements or specifications and that he . su es respon-
sibility for work done by his agents, servants or employees. / ., {Q
Signed • By
INSPECTOR
In co•.ideratio of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining • eto an in tr t conformit , ' .tans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acceptin this► me respo .. ty al ork done by either myself, my agent, servant or employee.
AUTHORITY
194_4