1250 NE 102 St (7)Issue Date: 12/11/2006
Owner's Name: JOSE BONAU
Permit Type: Mechanical - Residential
Work Classification: Repair
Job Address: 1250 102 Street NE
Additional Information
Miami Shores Village, FL
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 06/09/2007
Contractor(s) Phone
BLUE BREEZE AIR CONDITIONING 305 - 865 -1220 Yes
Primary Contractor
Tons: MECHANICAL
Classification: Residential
Additional Info:
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 responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Building Department File Copy
Applicant Signature
Permit Status: APPROVED
Permit Number: MC -12 -06 -2950
Phone:
Parcel #: 1132050250030
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 5,000.00
Required Inspections
Final
Fees Due Amount
CCF $4.80
Education Surcharge $1.60
Permit Fee - Additions /Alterations $280.00
Scanning Fee $3.00
Technology Fee $7.00
Total: $296.40
Invoice Number
MC - 12 - 06 - 27017
Total:
!DEC 15 PAID
C;(
Amt Due
$296.40
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Inspection Date: 06/13/2007
Inspector: Perez, JanPierre
Owner: BONAU, JOSE
Job Address: 1250 102 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: BLUE BREEZE AIR CONDITIONING
Building Department Comments
Monday, June 11, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Mechanical - Residential
Inspection Type: Final
U .••• Work Classification: Repair
Phone Number
Block:
Parcel Number 1132050250030
Lot:
Phone: 305- 865 -1220
Page 2 of 2
I
1. 4 Alp : I k n 7
Passed
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 34204.1. SEAL RETURN
OPENNINGS (RITER) TO MAKE AIR TILE
2. C/U MUST BE ABOVE FLOOD LEVEL AND ALSO A/H IN GARGER
MD 03/12/2007
lr ✓ 1,
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 06/13/2007
Inspector: Perez, JanPierre
Owner: BONAU, JOSE
Job Address: 1250 102 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: BLUE BREEZE AIR CONDITIONING
Building Department Comments
Monday, June 11, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Mechanical - Residential
Inspection Type: Final
U .••• Work Classification: Repair
Phone Number
Block:
Parcel Number 1132050250030
Lot:
Phone: 305- 865 -1220
Page 2 of 2
Permit Number: MC -12 -06 -2950
Invoice Number: MC -12 -06 -27017
Applicant: JOSE BONAU
Company Name:
Owner Address:
1250 NE 102 ST
MIAMI SHORES, FL 33138
Job Address:
1250 102 Street NE
Miami Shores Village, FL
Date
Friday, December 15, 2006
12/15/2006 Check
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Payment Type Check Number
9204
Amount
$296.40
Change
$0.00
Total Payment: $296.40
Page 1 of 1
Inspection Number: INSP -34204
Permit Number: MC -12 -06 -2950
Inspection Date: 03/07/2007
Inspector: met 1 3 "3
Owner: BONAU, JOSE
Job Address: 1250 102 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: BLUE BREEZE AIR CONDITIONING
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132050250030
Lot:
Phone: 305 - 865 -1220
Tuesday, March 6, 2007
Page 1 of 2
x)
MAR 12 On
Inspector Comments
0 ' _ I (L :ru�� , ��(6
to V~'x?-- `! d.
' C4 U VtI u t. , 63‘a&`l`sz-•
d 6 1 4, .6 kz)
i i v._ SAtiry
Passed
Failed
^n
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Number: INSP -34204
Permit Number: MC -12 -06 -2950
Inspection Date: 03/07/2007
Inspector: met 1 3 "3
Owner: BONAU, JOSE
Job Address: 1250 102 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: BLUE BREEZE AIR CONDITIONING
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132050250030
Lot:
Phone: 305 - 865 -1220
Tuesday, March 6, 2007
Page 1 of 2
City Miami Shores Villa•e
Is Building Historically Designated YES
City M M1.
Qualifier m A- I l / -S
Contractor's Company Name a
Contractor's Address 65S Nw /
Total Fee Now Due $ 5 b .40
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING 12/1 d Permit No. 1 I CYO p2 VM
PERMIT APPLICATION q, y r p c (? (); Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical Plumbing S Iechanical) Roofing
Phone #(vv J)15 q005
Owner's Name (Fee Simple Titleholder) 3 0 6 O U
Owner's Address 1250 IJ -E 10,2 S't
City (Y1 I P-flh I 3-0 etsState �(—
Tenant/Lessee Name
Job Address (where the work is being done) 1 250 f 10,2„
S /
n3212
County Miami -Dade
NO
State
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applica+ ) Phone #
Square Footage Of Work:
$ Value of Work For this Permit
Type of Work: ['Addition ' ❑Alteration ['New Repair/Replace ['Demolition
Describe Work: Ct4 -C- ->< S - l NI G C 8 -rQ N S Rg TON S 0 Niter
* * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * ** * * * ** * * * **
Submittal Fee $ Permit Fee $ Itt CCF $ OS(. n CO /CC
Notary $ Training/Education Fee $ - Technology Fee $ /•O
Scanning $ $ Zoning Bond $
Code Enforcement $
*
Structural Plan Review. $
Off' ' 3410
CK
Zip B3 -,
T,;:
DEC 0 6 2006
Zip 33 / 3C?
Phone #
Phone # (505) 6S (2 20
Zip 32
Bonding Company's Name (if applicable)
Bonding Company's Address
City State 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 st be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absen - of such posted notice, the
inspection wil -. s e .. raved einspection fee will be charged.
Signatur ., . .— l
Owner or Agent
The foregoing instrument was acknowledged before me this
day of � 2006 , by
who is personally known to me or who has produced
NOTARY PUBLIC
Sign:
Print:
NOTARY PURL
/� /s : 't �� 1 � w , ,, KAREN PRESTON •
�►� • 00 8432241
S;tor rtar thru (800)432.4254
My Commission E Flonaa Note
. ,
ry Aasn Inc t
OF S
My Commission Elepires.
APPLICATION APPROVED BY:
chc 05/13/03
As identification and who did take an oath.
KAREN PRESTON
Florida Notary Assn.. Inc
Signature
Sign:
Prin
ntract
The foregoing instrument was acknowledged before me this a
day of l' ciu- bF.t -, 20 OZ, , by � a S �rroa4
who i . ersonally known to or who has produced
as identification and who did take an oath.
lie
- )-6 ) 1 , iit
Plans Examiner
Engineer
Zoning
blue
655 NW 118 ST.
Miami, Ft. 33168
Ph. 305- 885.1220 Fax 305 -865 -7779
info@bluebreezemlami.com
,NR cpNamovnac
JOSE BONAU
1250 N.E. 102 STREET
MIAMI SHORES, FL 33138
INVOICE
12/8/2006 0000006359
JOSE 5Ol4AU
1250 N.E. 102 STREET
MIAMI SHORES, FL 33138
57200
0003080
.L'ES;F RSOf
1.00 REPLACE NC UNIT 5 & 3 TONS RHEEM HIGH EFFICIENTCY
1.00 CITY PERMITS
1.00 FPL REBATE #K365R
1.00 FPL REBATE #139881
1.00 GOLD PACKAGE FARTS/ i AND LABOR
1.00 CONDENSER ALUM STAND 18 ". 2 LEGS a
1.00 ALUMINUM STAND WITH FILTER RACK FOR AIR HANDLER
1.00 FLOW SWITCH MOD SS2
1.00 FIBER GLASS PLENIUM
1,00 CONCRETE SLAB.
1.00 FRESH FILTERS.
9 .00 SIGHT GLASS (REFRIGERANT LEVEL/MOISTURE CONTROL)
1.00 SOUND REDUCTION PACKAGE
1.00 PAN TABS FOR WATER TREATMENT
1.00 MMAINTENANCE CONTROL CHART.
SUBTOTAL $5000.00
TOTAL
5365.00
285.00
- 485.00
- 165.00
5365.00
285.00
- 485.00
-165.00
$5000.00
//
ITEM
3ATH TU3
UNIT
FEE
ITEI. UNIT
SWITCH OUTLETS
FEE
_
p '
UNIT
FEE
--
ITEM
SPACE HEATERS %9 ,j.
310 ET
LIGHT OUTLETS
CENTRAL HEATING i (14.
'RECEPTACLES
A/C (WIND) ,
`1 )
DISHWASHER
A/C (CENTRAL)57 TOry C
tt
DISPOSAL
SERVICE TEMPORARY
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/1ETER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
1 RANGE TOP
UNDERGROUND TANKS
OVEN
ABOVE GROUND TANKS
LAVATORY
LAUNDRY TRAY
1 WATER HEATER
U.F. PRESSURE VESSELS
STEAM BOILERS
CLOTHES WASHER
MOTORS 0- 1 If
S
1 MOTORS OVER 1- 3 HP
HOT WATER BOILERS
MECHANICAL VENTILATION
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
SINK, RESIDENCE
MOTCRS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
SINK, SLOP
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25r -100 HP
COOLING TOWERS
T
MOTORS OVER 100 HP
VIOLATION
WATER CLOSET
INDIRECT WASTES
A/C WINDOW I
RELNSFECTjON
WATER SUPPLY TO:
I j AIR CONDITIONERS
I
A/C UNIT
(
STRIP HEATER
FIRE SPRINKLER
I
I
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
I
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS .
LAWN SPRINKLER -WELL
1
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COAERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
,-SIGN
TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
,
ANTENNA
RELAY
1 TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
1 VIOLATION
1
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
_
DISCHARGE WELL
DOMESTIC WELL
i
AREA DRAIN
I
I .
,
ROOF INLET
I
SOLAR WATER HEATER
FIRE STANDPIPE
I
POOL PIPING I
I
'
4 1
LAWN SPRINKLER SYSTEM'.
GAS RAN E
METER SET (GAS) I
t
I I
GAS PIPING:
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
L CATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
� THE OWNER' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQLTr1lT LICAT
MECHANICAL
ELECTRICAL
11/28/2006
15:22:56
Blue Breeze Air Conditioning
Dispatch Ticket
11/28/2006
57200
Dispatch
57200
Customer /Location Address
JOSE BONAU
1250 N.E. 102 STREET
MIAMI SHORES, FL 33138
Work
Home 305 - 754 -9005
Fax
Cellular 786 - 556 -6477
Customer Notes
Type
Date Received
Time Received
Cust # Loc #
0003880 00001
COD
11/13/2006
01:25 PM
Tech Prom Date Prom Time Status
0060 Lucio 11/14/2006 08:00 AM Complete
0063 F /Up Lucio 11/17/2006 08:00 AM Complete
0063 F /Up Lucio 11/20/2006 10:23 AM Complete
0063 F /Up Lucio 11/22/2006 01:12 PM Complete
0060 Lucio Pending
Task
❑ Sales Presentation
Billing Name /Address
JOSE BONAU
1250 N.E. 102 STREET
MIAMI SHORES, FL 33138
Work
Home 305 - 754 -9005
Fax
Cellular 786- 556 -6477
Contact JOSE
Disp Date Disp Time Time on Time off
11/14/2006 03:00 PM 03:00 PM 03:00 PM
11/17/2006 09:23 AM 09:23 AM 09:23 AM
11/22/2006 12:12 PM 12:12 PM 12:12 PM
11/22/2006 12:13 PM 12:13 PM 12:13 PM
Code Est Time
335 120
Priority Zone
33138
PO Number Received by LUCIO
Skill Required 4
Called in by JOSE
Travel Job time
Dispatch Notes 42
1- Replacemt Add on New Instal. Service
2- Current NC ? No Yes ,
3- NC working ? No Yes
4- Health concerns ? No Yes
5- Owner - Tenant
6- Business - Residence
7- Need ladder ? No Yes
11/13/2006 -LF ALREADY PAID SOMEONE TO INSTALL TWO AMANAS. TALKED TO HIM AND SAID HE CAN
STILL CANCEL IF I OFFER A BETTER DEAL. NEEDS TO REPLACE TWO UNITS, 3.00 AND 5.00 TONS.
11/14/2006 -LF CANCELED THE INSTALLATION WITH THE OTHER COMPANY. HE IS WAITING FOR MY -
QUOTE ON A 3.0 AND 4.0 TONS UNTS, EITHER RHEEM OR TRANE. TOTAL AREA IS 2,900 SQ. FT.
11/16/2006 -LF CALLED ME YESTERDAY ASKING FOR AN ESTIMATE ON A 5.0 TONS RHEEM ONLY.
OFFERED AS A FREEBE TO MOVE THERMOSTAD TO A NEW LOCATION TO GET BUSINESS.
11/28/2006 -LF CLOSE DEAL ON FRIDAY AT 8:00 AM, NEED TO LOWER PRICE ON DUCT WORK BY 200 $
AND MOVE THERMOSTAD. 5.00 TONS AND 3.00 TONS RHEEM. NEED TO CHANGE ESTIMATE.
Total time
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NOW -0030 TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
111 1111 111 1111111III 11III11 II11I IIIII
c:FN 20a ®681335166
OR Bk 25195 Ps 3601; tips )
RECORDED 12/15/2006 14:01:55
HARVEY RUVINr CLERK OF COURT
MIAMI -DADE COUNTYr FLORIDA
LAST PAGE
1. Legal description of property and street /address:
/Z60 c /02. s fl /441 6/706 CS ; 33)
2. Description of improvement: VG C-1 4 (7 (c
O J r
3. Owner(s) name and address: 06 80" /'t1
/Z
50 ot) � /0 Z ST n4.94) S HO S - 6 , �G 3 3) 363
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: B? i; 4/c--
/73 Ey - h /•'Ili > 33) GO
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
Allar .AL
-1 vv. ,,rryye�'�
Prin Owners Name _ Prepared by L UCA.S TORPr - 1/.S4
Sworn to and subscribed before me this /5 day of (ageaW,SC",/Z., 20 �..
differen • • ecified)
Notary P
Print Notary' me ; i:}( 1 LN6 !a./444
My commission expires:
123.01 -52 PAGE 4 5/02
PV
OF M1>
Notary public State of Florida
Jacaueime Coleman
> ` My Commission DD448652
Expires 07/08/2009
Address: G S 5 ()At) //8.5
/rn h9leyn ,a. 33/(0
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approyal of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor 06. P E �
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 425
Sta work to be done and purpose of building (by floors)
New Building Remodeling Addition
To be constructed of Kind of foundation
Estimated Total cost of improvements $ .3 E,c Amount of Permit S.
Zone cubage required _Plan Cubage
Size of Building Lot
Distance to next nearest building
NOTE: A charge of $1.00 will be made for
the Planning hoard.
A re in pection fee of $1.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE
Date..._............_.
... No
/ c>2- sr,
LANNINC BOARD DATE
Pierre' - Tive)
Permit No.._... / `._l ' Date Read, Sworn to and Subscribed before me.
lf 19..
Street !.1 /CV sr
w
@a r-4.1 t2irsSt �-S � 6`c"•ii c cd t N
and for no other purpose.
F5
A V-- 19-14-
Repairs o. Stories _
et Roof Covering
r 1 -a
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup element,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for ins a ti. on site work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su • • • s, �on o to performed under this
permit, as are licensed by Miami Shores Village. / /
Remarks (Signed) /
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Disapproved . , ... ______._ Date. .._
<.... Notary Public, State of Florida
(Signed) `
Building Inspec •r My Commission Expires
Member
Member
Member ...._ -- • - - - --
Disapproved Date
Chairman
Mfcrr,bcr
Member ......
Council Approved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
BUILDING ❑
ELECTRICAL ❑ PERMIT l�M IT o
PLUMBING ❑ N. 9709
ROOFING ❑ `�:' '` (�,��
r❑ Work to be performed under this Permit t <,!'rG. } 4.40
Owner of ± ��
Building v . ;
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
1 /r
CONTRA 6x'OR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BI.
Subdi-
vision
Sq. Ft
Value of
Project $
t e
BY
DATE / ` 7 i
Contractor's '" /
License No f0
Amt. of
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 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 o specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. .'/'_ ✓° ..,,. a s BY
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 responsibility or all work die by either, myself, my agent, servant or employee.
AUTHORITY
I7