145 NE 101 St (8)MIAMI SHORES VILLA
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Date t t I IS Time
Type Insp'n 2I Hind d - 1
Permit No. PI 03 110
Name eer
Address 43 Y`-'E- 10 S4
Company
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
Address
Company
Phone #
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT A)
305- 795 -2204
Bui ding Inspection Request
Datd 0 Time
1
Type Insp' •.,- A. ■i__
r
Permit No. IP aral I lird 4 I
Name
)s4 (,. /O / ,
of 1-- 1. -3
For Inspector:/) j / C / 3J ame & Date
/11- Afb 4 il
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date to o Time
Type Insp'n FF ria 1 FO
Permit No. & P20 — 6 1 W V
Name 1 C 5 � c
Address 1 4 I L- 101 51
Company
3)s- 7(02- 5 (033
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
Name :'1' ate
1137\K
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MIAMI SHORES VILLAGE
BUILDING DEPARTME
305 - 795 -2204 ��
Building Inspection Re • -s
Datg/ '' I D Time
,
Type Insp'n `` Permit No. ? Z 003- I /7
Name P---
Address / 4/1.(4' / 0 /
Company IP °'-
Phone # u
For Inspector: Ii ) �� Date
Approved
Correction ❑
Re- Insp'n Fee
Bui ding Inspection Request
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE 0
BUILDING DEPARTMENT ��
305- 795 -2204
Dati Time
Type Insp
,
t
1 r
Permit No. I r I I I I I I I / 1
Name
Address ) \IS C is 1 D /
Company
P °—
Phone # 3 of 1--1 ( c— 102
For Inspector: 1 l l f 3Jame & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 1.a10)S Time
Type Insp'n F i na FOO
Permit No. 01
Name 1 C ► (e s
Address 143 3 131 J F
Company
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
DS- 7(02-5(033
Name :1'' ate
X 6C
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reque
Date ` \ 13 Time
Type Insp'n
qI ?coi
Permit No. I 03 J O2. Co
Name ��V
Address I 4-S \O\ a
Company \ ti-
.
Phone #
For Inspector: ,\ \
Approved
Correction
Re- Insp'n Fee ❑
igy
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
fhia t)1; Stw
Date :Pee; d 'A Job Address / /4/ Ws/. Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant (Em aw Wow Ilid'k Master Permit #
Owner's Address /YS NE /0) S r VIA-1"a km S 1A-01/g5 Phone 0317S) '2 13 - 3 `NY
Contracting Co C /4 M c J b - e (i✓L/ 4 •
Phone 3 o r'' 2 L/ 77 Z L
Qualifier AC r.3 t =' T C e — ' -
State # 66 00000 4i6 Municipal # Competency #
Address
Address
Architect/Engineer
Bonding Company
Mortgagor `l,c,Li 6Pa U, tali
2i a� of owner and/or Condo President Date
//( 1 .;f1 r
� d/or Condo President Date
Notary as to Own
My Commission
FEES: PERMIT
) _
RADON
'Ores:
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P' Claudia lzquierdo )(
° Notary Public, State of Florida S
; Commission No. CC 613330 $
'OFF"- ° My Commission Exp. 1/13/2001 y
Bonded Through Fla. Notary Service & Bonding Co. <
C.C.F.
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 6v2 G -/.92. L4G✓42 04 •
Square Ft. Estimated Cost (value) 6 0 • ° `
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
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.
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. Furthermore, I authorize the above -named contract to do the work stated.
Signature of Contractor or Own
Notary as to Contrac Owner- Builder Date
My Commission E • tress
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..»»»».).w ).),.› JiJi) ?JJJ3JJ ?» »2.)
tirp P's Claudia lzquierdo ;<
; ° Notary Public, State of Florida ),(
if Commission No. CC 613330 ?<
F' ° My Commission Exp. 1/ 13/2001 r�
a I
Bonded Through Fla. Notary Service & Bonding Co.
`�.:r / /f! /.+Y //; is /::% /r /. rt /r' // / / / / / / /// /fir
NOTARY
Ins. Co.
uilder
BOND
TOTAL DUE
Date
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering