PL-08-1571Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -93343
Permit Number: PL -8 -08 -1571
Scheduled Inspection Date: October 26, 2011
Inspector: Hernandez, Rafael
Owner: LEE, PATRICK
Job Address: 1122 NE 97 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: DIAL PLUMBING CORP
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050170170
Phone: (305)221 -8569
Building Department Comments
REMODEL PLUMBING AS SHOWN ON DRAWINGS
ALONG WITH GAS INSTALLATION
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 25, 2011
For Inspections please call: (305)762 -4949
Page 31 of 33
5\V
Miami Shores Village B3nTREV3R
Building Department ips FEB 1 0 2010
BY: .......U�-,,J.......
10050 N.E.2nd Avenue, Miami Shores, Florio 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 200$
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder)
Soo N e 951Y. 5r.
Owner's Address
City /4, S
Tenant/Lessee Name
E -MAIL:
State
Permit No. 1 OcC `IJi I
Master Permit No. , - 6 &. /Z 77
(-4 Phone #
Zip 33)33
Phone #
Job Address (where the work is being done) f r Z Ait 97N 9 r
City Miami Shores Village County Miami -Dade Zip 33) 3f
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name-3)1/K" PL 13;6-"='• ! P
Contractor's Address g°lq® '72- 2;
City teikt44' State - Zip 33 //mom'
Qualifier Name N'Tt �"✓ oilr . Phone # 7g6 t/2 672
Certificate of Competency No. / 4.3'/ :1
Phone # 3o4 2Zi' $_Vro?
State Certificate or Registration No.
E- MAIL: Nat, p(Ammb;vvici ' SD
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Pe
Type of Work:
Describe ,Wor
Square / Linear Footage Of Work:
Iteration LiNew L Repair/Replace ❑ Demolition
C1/1/1/ eaMOCfrt /604-C
Submi
Notary $
Scanning $
Bond $
ti '" y e_rt'L-a
************************************Fees*********************** *******************
Permit Fee $ 13‘%°d �--
CCF$
CO /CC
Training /Education Fee $ Technology Fee S.
Radon $ DPBR $ Zoning $
Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ So3 W
See Reverse side --*
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
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 attachmen ; lso, a certifi d copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occur: s ='en (7) d .fter the buildin g permit is issued. In the absence of such posted notice, the
.inspection will not be approved a . �yreinspecti�,� -•e will be charged —°
Signature
Signature
/Owner or Agent
The foregoing in rument was acknowledged before me this l6
day of , 20/0 , by day of jbed , 20 by FfOok_ ale& Qi
who is personally known to me or who has produced
As- identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: `q0‘‘pese�l�uUJra��`',i,.
o� NOTARY PUBLIC:
Co tractor ee��
The foregoing instrument was acknowledged before me thisG2-
who is personally known to me or who has produced
/1-9:110
Sign:' e• go A :(%y
Print: $ �:
' Print:
- IM
v `A▪ � My Commission r x i r=';:
******************************-4/****• * '' t**************************************** oYk 4e aY a: aF aYxxxicx & &uxxxaY
'41111 I I 10
My Commission Expires:
APPLICATION APPROVED BY:
71V10
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 200$
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder)
Owner's Address 5-(,, b gv�
City 44 l 4.A/1A cj o Q State
Tenant/Lessee Name
I f -s
� CAL Phone # 3 o 73f
951= .
zip 730r
FEB 1 0 2010 As
BY: ..
Permit NoTP1 I :� I
Master Permit No. Z 77
Phone #
E -MAIL:
Job Address (where the work is being done) it Z Z 9771'
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Zip
33)33'
Is Building Historically Designated YES
NO
Contractor's Company Name p 42/14°-
Contractor's Address
gq/f1 .�vh) 2i? ST-
City /dA.44/1' State
Qualifier Name !2l /4 'Fd "17 ok
Phone #
3e,c. war ask"?
Zip 3 3/6 .
786 1l?s 672
/q 3
Phone #
State Certificate or Registration No. Certificate of Competency No.
E -MAIL: ctt.ed lira. hie�trJ '' 4-et/go
Architect/Engineer's ame (if applicable) Phone #
Value of Work For this
Type of Work:
Describe; Word
Square / Linear Footage Of Work:
['Alteration flNew LI Repair/Replace ❑ Demolition
r 'g+a VVe Uv
******* * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** Fees************ ** ** *** ****** ** * **** * **** *xxxx�
Submit Fee $
Permit Fee $
CCF$
CO /CC
Notary $ Training /Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Total Fee Now Due $
See Reverse side —*
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
State
Zip
0
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 att{ sment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection whi oc. rs seven ' ,a ays after the building permit is issued In the absence of such posted notice, the
inspection will not be app +ei /:nd a reins • . on fee will be charged
Owner or Agent
The foregoing instrument was acknowledged before me this dU
day of rif5 , 20 10, by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
+ ►uuatltt
Signature
Contractor
The foregoing instrument was acknowledged before me this 2-Z-
day of bee- , 20 O/, by fig—
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
V
My Commission Expires: = <C i 4`�� .\IkQ® ' aC =
d� \'o°■\ • O = My Commission Ex it
**** ***** 4,Y********,Y,zeYdc**," xx, ** *1 jy, mie4************** �Y**** dexxx de***, cx*x4, �yYs4aYe1 -,4,Y,Qx. ****.****oYdc*** ***
i " 00
G
!/ STATE `` .‘
��tll //11111111 \++��
Commission DD 734314
Expires November 14, 2011
Bawled RWTioy Fit Insurance B 4019
APPLICATION APPROVED BY:.
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning
/ct-vg",
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
—Permit No. k C 7
Job Name
PLUMBING CRITIQUE SHEET
Af e/ s !A-6 Per-4l L e c4- Z
,s M 1AA M 2 c 4002 G S' �✓ �" ' ► e
2
Miami/ k bores Village
Building Department
to050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
JUN 2 5 2009 D
BY: �J
Penult Na 0 ^ IS 1 I
Master Permit No.Qn' 19- 7)
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) *kite- C_ Phone # (3a .S:1)71-7-0
Owner's Address pit Ns 9 '5 r
City pl 144 1 S1k' , State / Zip 3313,
Tenant/Lessee ame Phone #
E -MAIL: ay: e. Spa 7 aew.serzt is c p®.' . �s
Job Address (where the work is being done) #"t
City Miami Shores Villaee
FOLIO /PARCEL 0
Is Building Historically Designated YES NO J
County Miami -Dade ;Zip
!� 1
Contractor's Company Name l A 1041M6A. ' J �?
Phone # '
Contractor's Address 9 99' (t.? Tr .
City "lie State 7;6. zip S 3. i i;,,; ,a
Qualifier Name —An-1,4M ® � Off, Phone # '5" 2 2- i g 54 1
S t a t e C e r t i f i , ; rr o r e g s s i r a t i o n No. Z V7
E-MAIL: ; l Y b
of Competency No. CA900 / q-3 I
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Gra
Type of Work: in ddition
Describe Work: Ci, e '1
u ma
h'
Square / Linear Footage Of Work:
❑New ❑ ace D Demolition
d tv1td cc1 3) L- h-S A /AA-4-
46 lAideA Srlor.-C
saaaaa a•RaaAtaaaaaRBaaaaaaaanaaa
ss aw saaaaaaaaaa aaaswaaaaQassaataaataaa*aaaaa@
Submittal Fee $ Permit Fee $ Il f `v CCF $ CO/CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Zoning $
Total Fee Now Due $
See Reverse side —o
City
State Tin
Mortgage Lender's Name (if applicable)
City State Zip
LAIniumuceu prior w 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,
WFT .S Mfg .S FT TRN A CRS ROD FR S HEATER S T ANT< S and AIR CONDTTIC)NF.RS
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.
— - • ....ft a, a.• a • a %.• "
rit it wit. • wius MK 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
•
•
• -
• -
^ •
jar are JWS1 inspect:
inspection will not
• • •
• • . • .
occurs rev,,. (7) days after the building permit is issued In the absence of such posted notice, the
a r pection fee will be charged.
Owner or Agent
The forepoino instrument was ackno ledned before me this
day of Tole ,20 011 by
Contractor
The formoinp in.strument was anknowlesipesi before me this
day of .7-01-e ,20011 bv Hank- A feweizw
who is personally known to me or who has produced who is personally known to me or who has produced
NOTARY PUBLIC:
Print:
PATRICIA ELENA CEPERO
,1 ;I Commission DD 734374
• '
-44:4 Ist
Bonded Ilva Dal Fain balsam 800.385-7019
4.Y ,{14.'44 UAL ISIMG MI that'.
NOTARY PUBLIC:
.."1:,•••••
Print:
w". ''' PATRICIA ELENA CEPERO
A. A, 'if% Commission DD 734374
Expires November 14, 2011
Tvh. Commission Fsrnires- My Commission Fxriires-
a tt
orgiagll * *****0******************0**0***********************Atolt****
'111Pr
ilk 1' / Mans Exanuner
Fngineer
Zoning
(Rovisad 02 OS 06)
Miami Shores Village efJYP,,
Building Department �u 1' AUG 2 5 218
t:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 B%'.
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing °I 60"
Permit No.910 l 1 I
Master Permit No. COQ I a.1-1
Owner's Name (Fee Simple Titlehdlder)
Owner's Address .5-46 A) 9 S1,=, �Td
city `Q w■' Utc-S
Phone # (3k$) 4 44 ktv't
Tenant/Lessee Name Sq
E- MAIL: Pi QQ,f skrz (44- c v kli'ro ji®v).0 S
Job Address (where the work is being done) Iola_) 91+kSiree '
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # t1- 1 -(DS n "On o
Is Building Historically Designated YES NO 4�
State FL-- Zip 3113k
Phone # C7 t6)'L A 11 t 1r
Zip .33)3'
Contractor's Company Name PAN ,i1,44 OM. rt. 1/Ivl 5401 it t. Phone # /3pt7 " /.8L7
Contractor's Address ( 4-4 L t p.1
City 01A --4A i 414 „ l,t State f Zip
Qualifier Name W ilyba9e M Oi IZ
State Certificate or Registration No. C 95Z(<6i
E -MAIL: VPViti, e see4qvA6G4. toil
Architect/Engineer's Name (if applicable) 6'. X4047.74- ' ( Phone #
33JeWi
Phone # - /07
Certificate of Competency No. &'SVOz13
Value of Work For this Permit $ , ®y
31411 J33511AO
5'i
- Disceeibe°Work:
> Alteration
9sZr:
Square / Linear Footage Of Work:
❑New 0 Repair /Replace
Demolition
r1047, 17 0 (1111110000,
t***** *** ********* * * * * **** ** ******* **
Submittal Fee $
Notary $
Scanning $
Bond $ Code Enforcement $
Permit Fee $
Training /Education Fee $
* * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ CO /CC
Technology Fee $.
Radon $ DPBR $ Zoning $
Double Fee $
Structural Review. $
Total Fee Now Due $
See Reverse side —5
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
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 attar , t. Also, a certified copy of the recorded notice of commencement must be posted at the job site
or the first inspection which 9 cc� seven (7 — s after the building permit is issued. In the absence of such posted notice, the
inspection will not be appro /� d a reinsp n fee will be charged.
Owner or Agent
The foregoing instrument was ackn cadged before me this j t.— The foregoi
day of MUST- , 200r , by
Signature 7 Cam_
who i ^erIlyk» e or who has produced
, day of
As identification and who did take an oath.
NOTARY PUBLIC:
who is
Contractor
instrument was acknovvl ed before me thisif
,200i,by
nown to me or who h
as identification and who did take an oath.
Sign:
Print:
My Commission Expires:
NOT
Si
UBLIC:
DANIELLE FONTE
State 01 Florlda
2010
Commisskin a DD 796212
ry Assn.
% % % %% % % % % % % % % %wwwww %w
APPLICATION APPROV
(Revised 02/08/06)
*******************,ti****
% % % % % % % % % % % % % % % %%
e4Pans Examiner
Engineer
Zoning
Miami Shores Village
Building Department
10050 N.E.2nd Avenue; Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
MMCMEVE
E4 FEB 1 6 2010
@Y:--
•
Permit No. 9--O' e 1
Master Permit No. re- OE' tz--7%
Permit Type: Phillibiflg
Owner's Name (Fee Simple Titleholder) 4174,. e Phone # , XD3 -3 39
Owner's Address 50 Q' Y 2' ✓T ,
CityjAistal SI4oQi State Fie Zip 3313e
Tenant/Lessee Name Phone #
E-MAIL: `
Job Address (where the work is being done) Ili?, /u '97' 7.
City i x ' bores Village County _iii -)Dade . _ Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name I L --� ;vl {SIB 'S Phone # 90< 2,2—J S S eo 9
Contractor's Address 9 k'' Ss) 2,2— .ST>^ *
City /1 -//!4 i'i
Qualifier Name N% e)egv7-0361Xt Phone # 30S-' 22/
State Certificate o Registration Nq.
E -MAIL: IOLL l i '
Architect/Engineer's Name (if applicable) Phone #
stateL
Zip 33•16,--
C e r t i f i c a t e of Competency No. 0 0 4 7 0 / 1 1 / " 3 /
Value of Work For this Permit $ 21000 • oo
Type of Work: [Addition []Alteration
Describe Work: (,bie eitst.44Aa
',v' 0i/' bI!
Square / Linear Footage Of Work:
* ** ray* ** *** * ***** **** ** *** * * ******* **Fees**** r*** ** ******* *** rya** ** *** *,r****a+t*,t,r r,r**
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $ . Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side --)
Technology Fee $
lionding 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 A 'k'i)AVTT: 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 att t. Als • a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which'o • sevf) days after the building permit is issued In the absence of such posted notice, the
inspection will not be apps and a rem , ction fee will be charged.
Owner or Agent
The tbregoing instrument was acknowledged before me this
day of f , 20 by P 1 al c text..
who is personally known to me or who has produced FL 1)
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
00011111 1 t i,,,,,,/
s S/7 %,,,�
Nar4RY
• C Om/piss %�T 0016'0
1/44tllt!NtlO\
Contractor
The foregoing instrument was acknowledged before me this /3-114
day of -Feb , 20 JO, by / 67 ,
who is personally known to me or who has produced
as identification and who did take an oath,
NOTARY PUBLIC:
Plans Examiner
Engineer
Zoning
ic Tank`:
of property;
7 3`' -2 Way C.O.
0
;vis
C1-1-4-4"4
P 'T R-046- %Sri
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STAIt AND COUNTY RULES AND REGULATIONS
Lee Residence Septic Relay
1122 4E 97th Street
02/15/2010
Dial Plumbing Corp.
9940 SW 22nd Street
Miami, FL 33165
305 2214569
Existing Septic Tank
(East side of prperty)
Existing Septiclank
(West side of property)
0,1444044 ou-r ain-o
Wnc- --n4orA
PERMIT #:FLOS - IS-1 I
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
I
BLDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS