54 NE 100 St (5)Address_
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Ti
Type Insp
Permit No.
Name
Correction �/ ❑
Re- Insp'n Fee ❑
1006
Company
Phone #
For Inspector: Na Da e
Appro
W e3t,,-- Ld---
b �
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5;212002
c0 Applicant: ALICE
Owner: WILLIAMS
JOB ADDRESS: 54
tip Contractor
Local Phone:
Parcel # 1132060131210
ti
NE 100
Building Permit
Permit Number: BP2002 -849
WILLIAMS
ALICE
ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1.RMD PB 10 -70 LOT 6 & W1 /2 OF 5 BLK 9 LOT SIZE
Fees: Description Amount
FEE2002 - 2466 Building Permit Application Fee . $60.00
FEE2002 - 2467 CCF $2.40
FEE2002 - 2468 Notary Fee $5.00
Total Fees: $67.40
Total Fees: $67.40
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 10/28/2002 Construction Value: $3,200.00
Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT)
Signed:
Signed: (Contractor or Builder) BY:
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 ;nth 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 tuner 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 reauiations 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.
CTOR) BY:
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, staternents 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. REG C01 092502 1109 MC #01 001403 CASH $67.40
FLORIDA WM'
14 the Suitahine State
Zt
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ALICE GUINN WILLIAMS
54 N
NIAM
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03 24-!4 F
1992
V452 5 :4.004 0 03 :--1998
CLASS: E
SAFE DRIVER ' -14 1994
Me-
SO49-5012355